Illinois Pharmacist Jan/Feb/Mar 2015

> > > IN THIS ISSUE Columns 4 The President’s Perspective

March 11, 2015

6 Executive Director’s Viewpoint 8 From the Editor

Illinois State Capitol PG 9

10 Board of Pharmacy Update 24 Campus News Resources

PG 14

12 Pharmacy Advocacy Fund

2015-16 IPhA Board Election Nominations

22 Upcoming Events 26 IPhA Foundation 27 IPPAC Featured This Issue 7

2014 Bowl of Hygeia Recipients

9

2015 Illinois Pharmacists Legislative Day

14 IPhA Board of Directors Elections 16 2015 IPhA Award Nominations

PG 16

Illinois Pharmacists Association Annual Awards

18 Two Principals Bring New Skill Set to Much Shelist’s Health Care Law Practice 20 Immunizations in Adult Immunocompromised Patients: Influenza, Pneumococcal, and Herpes Zoster 23 Financial Forum: Give those dollars the opportunity for further tax-deferred growth

Advertiser’s Index 3 Pharmacy Technician Certification Board

15 National Association of Chain Drug Stores

5 PACE

19 Pharmacy Quality Committment

11 HD Smith 13 IPhA Online Career Center

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Call for Award Nominations

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

27 PAAS National 28 Pharmacists Mutual Companies

IPhA Executive Committee

IPhA Staff

Chairman of the Board Mickie Brunner, PharmD MickieRX@aol.com

Executive Director Garth Reynolds, RPh greynolds@ipha.org

President Cindy Mende Russell, RPh caamende@yahoo.com

Accounting Manager Erica Burris ericab@ipha.org

President Elect Eric Bandy, RPh eric@bandys.biz Vice President Ben Calcaterra, RPh ky_bjc@yahoo.com Secretary Jessica Kerr, PharmD, CDE jekerr@siue.edu Treasurer David Mikus, RPh davetravel1@aol.com

Member Services Manager Kimberly Condon kimc@ipha.org Administrative Assistant Sandra Dial sandrad@ipha.org Director of Government Affairs J Michael Patton mpatton@ipha.org Director of Clinical Programs Starlin Haydon-Greatting, RPh starlin@ipha.org Clinical Program Assistant Denise MacKenzie, RPh denisem@ipha.org, PharmD

Illinois Pharmacist | 204 W Cook Street | Springfield, IL 62704 Phone: (217) 522-7300 | Fax: (217) 522-7349 Email: ipha@ipha.org | Website: www.ipha.org

MISSION STATEMENT: The Illinois Pharmacists Association is dedicated to enhancing the professional competency of pharmacists, advancing the standards of pharmacy practice, improving pharmacists’ effectiveness in assuring rational drug use in society, and leading in the resolution of public policy issues affecting pharmacists.

VOLUME 77, NUMBER 1 (Jan/Feb/Mar 2015): The Illinois Pharmacist (ISSN 0195-2099) is published quarterly by the Illinois Pharmacists Association located at 204 W Cook, Springfield, IL 62704. Subscriptions are $200 per year. Periodical postage paid at Pontiac, IL and additional mailing offices. Postmaster: Send address changes to Illinois Pharmacist, 204 W Cook, Springfield, IL 62704 * Phone: (217) 522-7300 * Fax: (217) 522-7349. All contents ©2014 Illinois Pharmacists Association.

STATEMENT OF PURPOSE: The Illinois Pharmacist is a forum for debate and new ideas regarding pharmacy in the State of Illinois. Its goals are to keep members informed on legislative and regulatory developments and pharmacy practice issues, to help members improve job performance by providing practical information and to inform members about Association activities.

The opinions and positions expressed in articles contained in the Illinois Pharmacist are those of the authors and do not necessarily reflect the opinions and positions of the membership, officers, directors or staff of the Illinois Pharmacists Association. Illinois Pharmacist reserves the right to reject any advertising considered by management to be objectionable. Illinois Pharmacist also reserves the right to place the word “advertisement” on any ad it believes to resemble editorial material.

President’s Perpective When I worked in California in the late 1990’s I did the program for Emergency Contraception.

That program was my first real experience with a collaborative protocol. My pharmacy was one of the sites where patients could go and receive emergency contraceptive without a prescription. The protocol required evaluating the patient and a 15-20 minute counseling session. It was new and it was innovating and it was fun.

IPhA President Cindy Russell, RPh Twenty-five years ago, I graduated from pharmacy school. When I entered pharmacy school in 1984, the only degree was a Bachelors of Science degree. That last year of pharmacy school, there was talk about a new Pharm D. degree. I remember considering it, but I was paying for pharmacy school myself and didn’t know how I would be able to afford 2 more years of school. They said there would be no difference in my BS degree than the new Pharm D degree.

So I ventured out in the world. I was working in a hospital and a retail chain when I graduated. I could have worked either place. But, I had 7 years working in a retail pharmacy versus 1 year working in a hospital. I was used to retail so I went with what was comfortable.

Over the years, I have thought I might want to go back to school.

But financially it would have been difficult. But I have continued to increase my knowledge and tried to incorporate it into my practice.

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Once I got to Illinois, I got involved with the Diabetes Self Management Program and became one of IPhA’s Diabetes Coaches. Then came Immunization, and Cardiovascular, and then MTM programs. I also did the Socrates program for the State of Illinois employees. Motivational Interviewing techniques were also added.

All along the way, I have added to my pharmacy knowledge and I have coached and educated my patients.

But I still don’t have a Pharm.D. degree, and I am not considered a Clinical Pharmacist.

No matter what they told us twentyfive years ago, there IS a difference.

There are jobs that I am automatically excluded from because I don’t have a Pharm.D. It wasn’t so obvious at first. For a while, all positions said a BS or Pharm.D. Now, most positions say Pharm.D. Retail positions usually do list BS or Pharm D, but anything in a hospital and certainly everything clinical will only look at you if you have a Pharm.D. I feel as though I was lied to all those years ago. Maybe if I knew then what I know now, I would have made a different decision back then.

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

Tonight, I was talking to my pharmacy student. He is in the 2016 graduating class. It’s his turn to make decisions about his future. Now, he is deciding if he needs to do a residency. He knows he wants to work in community pharmacy, so he is unsure about doing a residency. He doesn’t feel like it’s necessary for his career path. My opinion is that he should go for the residency. He might know now what he wants to do, but a lot happens in a career that you can’t see when you are just starting out. Your first job is not going to be your last.

Who knows what the pharmacy profession will be like in 25 years.

I know, by then, my degree will be obsolete, and I will be retired. But what additional education beyond the Pharm.D. will the students of today need? A residency? Board Certification? I would bet that in 25 years, just a Pharm.D. will not be enough.

So my advice to him and all the rest of the students is go for something more.

Do something that sets you apart from the crowd. Of course, do something you enjoy. Have fun at your career.

Listen to the advice you get along the way. One day it will be your turn to give advice to the next generation.

Be involved in your professional organizations!! You will never regret it! Pharmacy is a great and varied profession. It has served me well and I have enjoyed every position I have held in my career. I have especially loved being active in IPhA. It has been one of the things that has given me the most satisfaction in my career.

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Executive Director’s Viewpoint Here we GO! also establish recognition of Pharmacist Provider Status under Medicare Part B for pharmacist care services delivered to medically underserved areas. Thank you to Senator Mark Kirk for your support.

IPhA Executive Director Garth Reynolds, RPh “Be the change that you wish to see in the world.”

Mahatma Gandhi On January 28, 2015, H.R.592 (Pharmacy and Medically Underserved Areas Enhancement Act) was introduced in the House of Representatives. The new bill replaces H.R.4190, from 2014, and would establish recognition of Pharmacist Provider Status under Medicare Part B for pharmacist care services delivered to medically underserved areas. As you may recall, 79 of the 102 counties in Illinois are considered Medically Underserved. As of the submission to press of this article, five of our eighteen Representatives have already re-signed onto H.R.592 as cosponsors. Thank you to Congresswomen Cheri Bustos and Tammy Duckworth and Congressmen Rodney Davis, Daniel Lipinski, and Michael Quigley for your support.

Following the introduction of H.R.592 on January 29th, S.314 (Pharmacy and Medically Underserved Areas Enhancement Act) was introduced in the Senate. Our very own Senator Mark Kirk was one of the Chief-Cosponsors on this bill. S.314 is a companion bill to H.R.592 to increase the discussion and momentum by having the bill introduced in both chambers of Congress. S.314 would

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IPhA continues to works closely, on your behalf, with the Patient Access to Pharmacists’ Care Coalition (PAPCC).

The PAPCC is compromised of the major pharmacy associations (APhA, ASHP, NCPA, NACDS, ASCP, AACP IACP, and NASPA), major pharmacy corporations and wholesale partners.

IPhA supports and participates in PAPCC through the National Alliance of State Pharmacy Associations (NASPA).

On February 5th, H.R.793 (Ensuring Seniors Access to Local Pharmacies Act) was introduced in the House. The new bill replaces H.R.4577 (Ensuring Seniors Access to Local Pharmacies Act of 2014). H.R.793 would address the preferred network structure that exists in Medicare Part D and establish a federal level “any willing provider” designation for Medicare Part D prescription plans and preserve the patient-pharmacist relationship and patient choice of provider. IPhA is working closely with NCPA in support of this legislation.

In Illinois, IPhA is working closely with Illinois Council of Health-System Pharmacists (ICHP), Illinois Retail Merchants Association (IRMA) and other pharmacy stakeholders to advance pharmacy practice and patient care within Illinois. In the coming weeks, IPhA will be announcing proposed legislation for consideration in 2015.

IPhA understands your just concerns on how Managed Medicaid plans are impacting pharmacy practice and access to patient care and have engaged the Department of Health and Family

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

Services with these issues. Please join us for Illinois Pharmacy Legislative Day on March 11th. We are pleased that The Honorable Bruce Rauner, the 42nd Governor of the State of Illinois will be joining us as our guest and speaker. (See Details on Page 9) In January, IPhA unveiled an entire new website. The new IPhA.org features a new look, tools for staying in touch, resources to support committees, and a social community and forum for you to share your ideas and discuss topics important to you and your practice. The new IPhA.org highlights the great work being done for your Patients and the Profession.

As a new member benefit and service, you may now pay for your membership in monthly or quarterly payment options and all payment options may be set for automated renewal. You do not need to miss a single day of your membership benefits and services for each year to the next. Also, donations to the IPhA Foundation and Illinois Pharmacy PAC now offer the same monthly, quarterly and automated payment options. IPhA strives to service you in every way that is best for your situation and support level.

We need you to become part of this change with us. If you are not a member of IPhA, add your Voice to Pharmacy and JOIN TODAY. Thank you to all of our current members for your continued support. Please consider passing the Journal to a peer that is not a member and make sure to they attend with you for Legislative Day and Annual Conference.

Make sure to have them state your name as a referral on their application, so we can personally thank you for your support for advancing pharmacy and patient care in Illinois.

2014 Recipients of the “Bowl of Hygeia” Award

Mike Mikell Alabama

Scott Watts Alaska

Crane Davis Arizona

Eric Shoffner Arkansas

Walter Cathey California

Wendy Anderson Colorado

Philip Bunick Connecticut

Donald Holst Delaware

Norman Tomaka Florida

Robert Bowles Georgia

Jeani Jow Hawaii

Susan Cornell Illinois

Sean McAlister Indiana

Craig Clark Iowa

Richard Bieber Kansas

Jerrold White Kentucky

Robert Hollier Louisiana

Mark Polli Maine

Donald Taylor Maryland

Erasmo Mitrano Massachusetts

Joseph Leonard Michigan

Brent Thompson Minnesota

Carter Haines Mississippi

Kenneth Michel Missouri

Mark Donaldson Montana

Christopher Shea Nevada

Lawrence Routhier New Hampshire

Maria Leibfried New Jersey

Stephen Burgess New Mexico

Karl Fiebelkorn New York

Ronald Maddox North Carolina

Charles Peterson North Dakota

James Liebetrau Ohio

Henry Roberts Oklahoma

Larry Cartier Oregon

Julie Gerhart-Rothholz Pennsylvania

Blanca Delgado-Rodriguez Puerto Rico

Katherine Kelly Orr Rhode Island

Gene Reeder South Carolina

Earl Hinricher South Dakota

Robert Shutt Tennessee

May Jean Woo Texas

Brent Olsen Utah

Cynthia Warriner Virginia

Patricia Slagle Washington

Wallene Bullard Washington D.C.

Arlie Winters West Virginia*

Nicole McNamee West Virginia

Terry Maves Wisconsin

Ardis Meier Wyoming

The “Bowl of Hygeia”

The Bowl of Hygeia award program was originally developed by the A. H. Robins Company to recognize pharmacists across the nation for outstanding service to their communities. Selected through their respective professional pharmacy associations, each of these dedicated individuals has made uniquely personal contributions to a strong, healthy community. We offer our congratulations and thanks for their high example. The American Pharmacists Association Foundation, the National Alliance of State Pharmacy Associations and the state pharmacy associations have assumed responsibility for continuing this prestigious recognition program. All former recipients are encouraged to maintain their linkage to the Bowl of Hygeia by emailing current contact information to awards@naspa.us. The Bowl of Hygeia is on display in the APhA Awards Gallery located in Washington, DC. Boehringer Ingelheim is proud to be the Premier Supporter of the Bowl of Hygeia program.

* 2013 recipient not previously pictured.

From the Editor

WHY? store. This is probably the ultimate answer for adherence. We can harass all the patients we want about adherence when the real answer is probably making the medicine available at no charge to the patient.

(Sounds suspiciously like socialism)

IPhA Editor Jefftry Ellis, RPh

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Have you noticed that doctors are including discount card information on the e-prescriptions? Who is getting paid to add that information on each script?

The doctors or SureScripts? Because no one would do it if there was not money involved. You can bet the pharmacy is not getting a cut. In fact, the pharmacy is the entity who is the ultimate payor for the service as we are the ones giving the discount.

This applies to all the discount cards, that counties/ municipalities/utilities give out free to their constituents. When I ask the techs I work with about the discount cards, they assume, as do the customers, that the county/municipality/utility is bankrolling the discount somehow. This could not be further from the truth. Again, the pharmacy is the only entity that subsidizes these cards while not getting any credit for it and now they are auto inserted into e-prescriptions. I think I’m going to start a program that gives discount cards for prescriber’s services and auto insert it on each prescription receipt. Are there these services already? I should google this.

The vast majority of flu shots are zero copay. I’m guessing 99%. Apparently if people have to pay for them, they will not get them or maybe just at my

3 4 5

Long involved instructions are auto-inserted for every pain prescription. We have to type all of that but the prescribers don’t? Some of the instructions are mind bogglingly complex. I want to only type them in the instructions if the prescriber types them. Then, I know they are important to the prescriber. All auto insertion instructions should be given to the patient on the discharge form.

Imagine the drive up at McDonalds if you had to bring a prescription from your mother and expected insurance to pay for it while having a menu of 10,000 items and have no major say in what you can order. Remind you of anything?

Why do we have drive ups again? Oh yeah, I remember. If Walgreens (for instance) stopped offering drive ups due to patient safety concerns (a valid worry), CVS, Walmart and the rest would gleefully crow about customer convenience while ignoring the real safety concerns. The Walgreens-Express Script debacle of a couple of years ago demonstrated how short sighted these corporations really are.

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

2015 PHARMACY LEGISLATIVE DAY Join hundreds of pharmacy professionals at the State Capitol on March 11, 2015!

Represent your profession and speak directly to legislators and staff regarding the critical issues facing pharmacists. It is vital that your legislators become more knowledgeable on the role of pharmacy in augmenting healthcare.

Learn about key issues and how to discuss them with your legislators. Join your fellow pharmacists and become part of the solutions.

Don’t miss this opportunity to let your collective voices be heard!

Jointly sponsored by Illinois Pharmacists Association and Illinois Council of Health- System Pharmacists. For the past eight years, IPhA and ICHP have joined forces to let lawmakers know that pharmacists stand united.

PHOTO ID: All persons visiting the Capitol Building must present a government issued photo ID. MOTORCOACH: Bus transportation to and from Springfield will be available.

Be sure to mark your pickup location below. Departure times to follow.

SCHEDULE OF EVENTS: 1:00 am - 12:30 pm Check In 1 Hoogland Center for the Arts 1:30 am - 12:15 pm Lunch 1 Dining Room, Hoogland Center for the Arts 12:30 pm - 2:00 pm CPE Legislative Orientation LRS Auditorium, Hoogland Center for the Arts 2:30 pm - 4:45 pm Capitol Activities - Including legislator visits Government issued ID is required

Illinois Pharmacists Association

Registration Deadline: February 27, 2015

Register online at www.ipha.org or complete form below and mail to: Illinois Pharmacists Association, 204 West Cook Street, Springfield, IL 62704-2526 or fax to (217) 522-7349.

Name: ______________________________________________ Registered Voting Address: _____________________________ City: ________________ State: ___ Zip+4: ________ ______ Cell Phone (Required if you are riding the bus): (____) ____ _ ___ Email (Required for event updates): _ ______________________ My State Senator is: ___________________________________ My State Representative is: _____________________________ q I need vegetarian meals q Other special needs: _ ________________________ A staff member will contact you to discuss special needs.

I am a member of: q IPhA q ICHP q Both q Neither q

5:15 pm Bus Departure

Illinois Council of HealthSystem Pharmacists

Yes, I’d like to attend Legislative Day

(Registration includes lunch.)

q Member Student ........................................................ $10 m CSU m MWU m RFU m RU m SIUE m StL m UIC-C m UIC-R

q Member Technician .................................................... $10 q Member Pharmacist .................................................... $25 q Non-member ............................................................. $125

q

Yes, I will be riding the Motorcoach

(Registration deadline 02/23/15 for Motorcoach.)

q Student/Technician . .............................................. $15 q Pharmacist/Associate ............................................ $25

Riding to/from the following College of Pharmacy: q CSU q MWU q RU

q RFUMS q SIUE q StLCoP

q UIC q UIC-Rockford Payment Information: Total Amount Due: $ _____________ q Check enclosed payable to Illinois Pharmacists Association q Please charge my: q Visa q MC q AmEx Card #: ___________________________________________ Signature: _________________________________________ Expiration: __________________________ CVV: _ ________ You MUST be pre-registered to attend 2015 Pharmacy Legislative Day!

By registering for Pharmacy Legislative Day, you are giving IPhA and ICHP permission to use photographs or video of yourself taken at the event. IPhA and ICHP intend to use such media only in connection with IPhA and ICHP official publications, media promotions, websites, or social media sites including but not limited to Facebook, Twitter, and YouTube, and that these images may be used without further notifying you.

Cancellation Policy: Cancellation must be received 7 days in advance of the event for a full refund and 48 hours in advance in order to receive a refund of 50% of fees paid. Cancellations of less than 48 hours through 7:00 a.m. of the morning of the event will receive no refund. “No-shows” (no notifiction of cancellation or cancellation received after 7:00 a.m. on March 11th) will incur a cancellation penalty of $25.

Board of Pharmacy Update Illinois State Board of Pharmacy Chairman Yagnesh (Yash) V Patel, RPh

When

others have asked why I took on the role of being the Chair for the Illinois Board of Pharmacy, my answer is quite simple: to not only protect the profession of pharmacy, but more importantly, to protect the people. As someone who has resided in Illinois and further continued my education at Midwestern University, I quickly came to know how much importance the state placed on its people. While there were many options when I went to school, I wanted to pick a career where the profession and employees were respected and the focus was on helping patients. I had to look no further when my list of needs matched that of pharmacy. Throughout the past seventeen years, I have had the opportunity to be on both sides and experience the many facets in the world of pharmacy. My interest began in retail pharmacy where I kick started my career as a pharmacist slowly gaining traction, understanding the in’s and out’s of both the business side and patient care. My experiences PAGE 10

and thirst to learn more, apply more, and do more, led me to more opportunities as a pharmacy manager/supervisor and later as a district supervisor. While my responsibilities expanded to cover a larger area where my decisions would affect more stores and more employees, the focus remained on each individual patient.

Regardless of title, position, or role, it has been a priority for me to stress that the patient should always be at the center-point of all operations.

As a father of two children, I am often making trips to the pharmacy whether it is the local family-owned pharmacy or a retail chain. It delights me to see the interactions and engagements pharmacies throughout our state are making to improve patient’s lives. As a pharmacist, each individual’s responsibility to their community has become more critical as patients look to pharmacists as the front-line of defense when it comes to their healthcare needs. Pharmacists are now taking a larger role by providing patient care services which may have only been

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

available at the physician’s office before, and care is even being delivered to home. More patients are being given access to medications with follow-ups from providers who truly are taking time to care for their patients’ well-being. While the number of pharmacies in the state continues to grow, a large focus remains on the quality of care provided. As a business, quantity in prescriptions sold may be important, but quality of care provided to each patient is even more important and should remain at the cornerstone of care as the profession advances.

While the profession further progresses, education and a means to continuously stay engaged and learn more is essential. I encourage each pharmacy student who is taking the training to one day be a pharmacist, to keep their minds open to changes that will happen in healthcare but never lose focus of the patient.

In future editions of this publication I will highlight regulations that aide “patient – centric” healthcare approach.

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Helping You Care For Your Community

IPhA needs your financial support to continue monitoring legislation and advocating for pharmacy. Please consider contributing today!

Thank you to these pharmacy advocacy fund contributors in 2014 ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ

Steven Bandy Byron Berry Anthony Budde Ben Calcaterra Gary Ceretto Stephen Clement Jeffry Ellis Todd Evers Joyce Fogleman

ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ

ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ ÎÎ

Robert Funk Linda Gehrt Donald Gronewold Gireesh Gupchup Hudson Drug Shop Donald Johnston Steve Karagiannis Timothy Lehan Michael Minesinger

John O’Dwyer William Powers Pamela Reynolds Tony Sartoris Bruce Stacy Terry Traster John Velk Bruce Wood

I am proud to support the Illinois Pharmacy Advocacy Fund!

Name:

(as you wish name to appear in the acknowledgement of your contribution) Address: Phone: Email:

 If needed, I am willing to contact my state legislator to be an advocate for pharmacy in Illinois!

..............................................................................................................................................

Pledge Information:  Enclosed is my contribution of:  $2,000

 $1,000

 $500

 Other $__________

 I would like to contribute $_______ on a monthly basis until I notify IPhA to discontinue.  Please charge my credit card $_______ on the 15th of each month for one year.

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Payment Information:  Check payable to Illinois Pharmacists Association enclosed  Please charge my credit card:  Visa

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Please mail or fax this page with your payment to: Illinois Pharmacists Association  204 West Cook St  Springfield IL 62704-2526  Fax 217-522-7349

SUPPORTING PHARMACISTS. ADVANCING CAREERS. Find the best jobs and highly qualified pharmacists Illinois has to offer.

ONLINE CAREER CENTER www.ipha.org

2015-16 IPhA Board Election Please email your nominations to the IPhA President and Nominating Committee Chair Cindy Russell at camenderussell@gmail.com, President-Elect Eric Bandy at eric@bandys.biz and to the IPhA office at sandrad@ipha.org.

President-Elect The President-Elect shall fill the office of President should that office become vacant; assume the regular full term of President following any partial term as President acquired through a vacancy; perform such other duties as assigned by the President or Board of Directors.

Vice President The Vice President shall be responsible for oversight of committees assigned by the President; be an ex-officio member of all committees within the assignment; assume the powers of President, when so directed by the Board of Directors, when both the elected President and President-Elect are unable to perform the duties to that office; report to the annual meeting of the Association and to the Board of Directors when requested by the President; perform such other duties as assigned by the President or Board of Directors.

Treasurer The Treasurer shall serve as Chair of the Finance Committee; have charge of the funds of the Association, for which s/he personally shall be responsible and which s/he shall cause to be deposited in an appropriate safe bank or depository; cause to be paid all bills and vouchers of the Association by checks or drafts appropriately executed; report the state of the Treasury at each annual meeting of the Association; give reports at each meeting of the Board of Directors on the state of the Treasury; give sufficient fidelity bond with surety within 30 days after her/ his election, subject to the approval of the Board of Directors and deliver such bond to the President for safe-keeping, said surety is to be secured and paid for by the Association.

ELECTRONIC VOTING NOTICE

2015 voting for proposed IPhA Bylaws changes and IPhA Elections will be held electronically.

Any member with voting privileges may request a paper/faxed ballot by notifying Sandra at (217) 522-7300 of such a request at any time prior to, or during the specified active voting period.

2015-16 IPhA Election Schedule

Nomination Deadline & Election Slate Finalized ......................... April 2, 2015 Slate Published & Request for Candidate Info Submissions Made . .............................. April 9, 2015 Deadlines: (Additional Nominations

by Petition) & (Candidate Information Submission) ..................... May 11, 2015 Ballots Distributed ............................... May 18, 2015 Deadline (Member Voting) ................. June 17, 2015 Winners Notified & Results Published . .............................. June 24, 2015

Regional Directors/House of Delegates Each Regional Director serves on the Board of Directors as a representative of the IPhA members in that region. Each Regional Director and Delegate serves a two-year term. Regions 2, 4, 6, 8 have Director and House of Delegate openings.

Practitioner Section Chairs The nominee for the position of Chair of a particular section of the Illinois Pharmacists Association must be a member in good standing of the Association and be actively involved in the identifiable, distinct, and active section she/he intends to represent. The Chair will serve a two-year term. The Chain, Compounding, Independent and Long Term Care Practitioner Sections shave Chair openings.

The 2015-16 Board of Directors will assume office on October 1, 2015, and will be formally installed at the IPhA Annual Conference, to be held September 24-27, 2015 at the Westin Lombard.

Winners will be notified of exact times and dates.

A common purpose unites us... ...they are better off for it.

NACDS salutes the IPhA, and values our partnership.

Our work together on policy issues is an extension of our commitment behind the counter. When we speak as one, we protect and advance the role of community pharmacy in healthcare.

We are proud to stand with you, as we stand up for those we serve.

NATIONAL ASSOCIATION OF

CHAIN DRUG STORES Pharmacies. The face of neighborhood healthcare.

ILLINOIS PHARMACISTS ASSOCIATION * WWW.IPHA.ORG

PAGE 15

Call for Award Nominations

Illinois Pharmacists Association Annual Awards

Alan Granat Memorial Scholarship

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This award was established as a memorial tribute to Alan Granat, who served as Executive Director of IPhA from 1979 until his death in 1989. The award will be presented annually by the IPhA Foundation to a pharmacist and/or pharmacy student who has exhibited a commitment to pharmacy and community, as evidenced by membership and participation in pharmacy organizations and community involvement.

To be eligible, pharmacists must be members of IPhA, Illinois residents, and licensed to practice in Illinois.

Eligible students must be entering their third year of a Pharm.D. program, be student members of IPhA, and have their permanent residency in Illinois. The recipient(s) of this award will be required to contribute an article to Illinois Pharmacist, IPhA’s journal.

Bowl of Hygeia Award This award honors a pharmacist who has compiled an outstanding record of community service, which apart from his/her specific identification as a pharmacist, reflects well on the profession. Also: Pharmacist licensed in Illinois; IPhA member; has not previously received the award; must not be currently serving or have served, within the past two years, as an officer of IPhA, other than an ex-officio capacity, or as member of its awards committee. Sponsored by the APhA Foundation and NASPA.

Distinguished Young Pharmacist/Edmond P. Barcus Award Originally sponsored by IPhA to honor the memory of IPhA President Edmond P. Barcus, who died in office, this award honors an up-and-comer pharmacist.

The recipient is an individual who shows tremendous commitment to the profession and his/her community, leadership potential, professional aspirations, and involvement in community service. Also: Member of IPhA in the year selected; entry degree in pharmacy received less than ten years ago; licensed to practice pharmacy in Illinois and must have practiced in community, institutional, managed care, or consulting pharmacy in the year selected; participated in national pharmacy associations, professional programs, and/or community service. Sponsored by Pharmacists Mutual Companies.

Educator of the Year - New for 2015!

Recipient must be an IPhA member for at least 3 years prior to receiving the award; a full time faculty member at one of the following schools: CSU, Midwestern, PAGE 16

Roosevelt, Rosalind Franklin, SIUE, StLCOP, or UIC; has been shown to be a exceptional educator and mentor in their college, state and nationally. The candidate should have made substantial contribution to the education of pharmacists through the Illinois Pharmacist Association.

Excellence in Innovation This award honors a practicing pharmacist within the geographic area represented by the presenting association and who has demonstrated innovative pharmacy practice resulting in improved patient care.

Sponsored by Upsher-Smith Labs, Inc.

Cardinal Health Generation Rx New for 2015!

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The Cardinal Health GenerationRx Award is designed to recognize a pharmacist who has demonstrated excellence in community-based prescription drug abuse prevention. The award is intended to recognize outstanding efforts within the pharmacy community to raise awareness of this serious public health problem.

It is also intended to encourage educational prevention efforts aimed at patients, youth, and other members of the community.

This award includes a $500 donation to the charity of the recipient’s choice.

Honorary President

This award recognizes a lengthy and sustained commitment of support to the profession and the Association. The recipient of this award need not necessarily be a pharmacist but must have a demonstrated dedication and a record of service to the profession. Sponsored by the Illinois Pharmacists Association.

IPhA Foundation Lifetime Service Award

This award has been established to honor pharmacists in all practice settings who have, through example, integrity, and longevity, served as role models for those in the profession of pharmacy. The award is sponsored by the IPhA Foundation.

Pharmacist of the Year

This is IPhA’s oldest continuing honor, having had its initial presentation in 1950. It recognizes an Illinois pharmacist who has made outstanding contributions to pharmacy practice, the profession, and the Illinois Pharmacists Association. Sponsored by the Illinois Pharmacists Association.

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

Previous Award Recipients Alan Granat Memorial Scholarship 2014 - Jessica Kerwin 2013 - Juhae Lee 2012 - Ryan Birk 2011 - Michael Kenes Neil Schultz 2010 - Daniel Glapa Emily Sieracki 2009 - Timothy Gleason 2008 - Diana Jason 2007 - Zeina Samara John Tiesch 2006 - Scott Forrest 2005 - Not Presented 2004 - Angela Green Bowl of Hygeia Award 2014 - Susan Cornell 2013 - Garry Moreland 2012 - Randy Malan 2011 - Sabah Hussein 2010 - Carl Hudson, Jr. 2009 - Thomas Rickey 2008 - Om Dhingra 2007 - Kerrylyn Whalen Rodriguez

2006 - Gary Ceretto 2005 - James Rankin 2004 - Roger Ball, Sr. Distinguished Young Pharmacist/Edmond P. Barcus Award 2014 - Laura E Licari 2013 - Jennifer George 2012 - Marlowe Djuric Kachlic 2011 - Beaux Cole 2010 - Erika Krysiak 2009 - Nicole Gattas 2008 - Kristin Goliak 2007 - Jessica Kerr 2006 - Gregory Dill 2005 - Andrew Hudson 2004 - Garth Reynolds Excellence in Innovation 2014 - Jennifer Rosselli 2013 - Izabella Wentz 2012 - Scott Bergman 2011 - Sherman White 2010 - David Mikus 2009 - Timothy Lehan

2008 - James Perry, Jr. 2007 - Ed Cohen 2006 - Jeffrey Robins 2005 - Thomas Rickey 2004 - Sheri Stensland Honorary President 2014 - Avery Spunt 2013 - Janet Engle 2012 - Brett Schott 2011 - Thomas Reutzel 2010 - Beverly Rossmiller 2009 - Senator Frank Watson 2008 - Randy Malan 2007 - Larry Boress 2006 - Morris Bittner 2005 - Edward Lewis, Jr.* IPhA Foundation Lifetime Pharmacy Service Award 2014 - Edward James 2012 - Randall Lambert 2011 Donald Gronewold

2010 - Gerald Bailey* 2009 - Edward Lewis, Jr.*

Bill Nelson Pharmacist-Coach Award 2014 - Kroger Pharmacies 2013 - Kathryn Raynolds 2012 - Robert Anselmo 2011 - SuperValu 2010 - Denise MacKenzie 2009 - Jennifer Frericks Pharmacist of the Year 2014 - Sheri Stensland 2013 - Miriam Mobley Smith 2012 - Nicholas Popovich 2011 - Jessica Kerr 2010 - Gary Frisch 2009 - Marlin Weekley 2008 - Starlin Haydon-Greatting 2007 - Garry Moreland 2006 - Henry “Hank� Gould 2005 - Allen Yee 2004 - Jeffry Ellis * Deceased

DEADLINE FOR NOMINATIONS: FRIDAY - JUNE 19, 2015 Nominations must be made by an IPhA member and accompanied by a brief statement as to why the nominee deserves this recognition.

I am pleased to submit the following nomination:

Nominated by:

Name: __________________________________________

Name: __________________________________________

For the following award: q q q q q q q

Alan Granat Memorial Scholarship Bowl of Hygeia Award Distinguished Young Pharmacist/Edmond Barcus Award Excellence in Innovation Honorary President IPhA Foundation Lifetime Service Award Pharmacist of the Year

Signature: _______________________________________ Please describe why the nominee should receive this award:

_______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________

Mail: IPhA, 204 West Cook Street, Springfield, IL 62704 | Fax: (217) 522-7349 | Online: www.ipha.org

Two Principals Bring New Skill Set to Much Shelist’s Health Care Law Practice Practice Now Offers Capabilities in Medical Device, Drug & Pharmacy Arenas Chicago-based law firm Much Shelist announced today that Ned Milenkovich and Harold B. Hilborn have joined the firm as principals in the Health Care Law practice. With extensive experience in the medical device, drug & pharmacy areas, as well as an impressive client base that includes major healthcare company CVS Health, these attorneys expand the skill set of the firm’s existing health care practice.

Ned Milenkovich helps medical device, drug & pharmacy businesses meet the demands of federal and state regulators, strengthen their positions in a highly competitive marketplace, and resolve a broad range of commercial disputes. Also a licensed pharmacist, Ned has more than 15 years of experience advising clients on regulatory compliance, including matters involving requirements of the U.S. Food and Drug Administration, Drug Enforcement Administration, Medicare Part D matters, 340B issues, Health Insurance Portability and Accountability Act (HIPAA) compliance, prescription drug monitoring programs, drug diversion issues and drug pedigree and compounding issues. He also counsels clients on licensing, transactional and corporate compliance and accountability issues.

Ned currently serves as vice-chair of the Illinois State Board of Pharmacy.

From 2009 through 2012, he was a member of the Health Law Section of the American Bar Association’s planning committees for the annual PAGE 18

Health Law Summit. He received a J.D. (cum laude) from The John Marshall Law School, a PharmD, with honors, from the University of Illinois at Chicago and a B.S. in Pharmacy from The Ohio State University.

“The transition to Much Shelist has been seamless, and I’m very pleased to bring to our clients the tremendous experience, knowledge and resources the firm has to offer,” said Milenkovich. “We look forward to working with this incredible team of professionals and helping the firm expand its health care offerings.”

Harold Hilborn draws on his extensive trial and appellate practice to help pharmacies, pharmacists and other health care providers resolve business and regulatory disputes. Harold provides compliance and litigation counsel in the full range of industry issues, including disciplinary and licensing matters, self-referral, antikickback and prescription-drug marketing laws, and contract disputes.

Over the course of his career, Harold has argued cases in state and federal district and appeals courts across the United States. In addition to his work in the healthcare arena, he has represented numerous publicly traded, privately owned and closely held companies operating in a broad spectrum of industries such as real estate, retail and professional services.

In addition, he has advised clients in commercial disputes involving real estate brokerage, development and leasing, changes of control and ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

ownership, trade secrets, employment and consulting agreements, and commercial contracts and warranties.

Harold earned a J.D. (cum laude) from Northwestern University School of Law where he currently serves as a board member of the Northwestern Law Alumni Club of Chicago. He received a B.S. (summa cum laude) from the University of Michigan.

“Ned and Harold bring an expanded base of experience in very dynamic and high-demand areas of health care, a capability we are excited to continue offering our clients,” said Mitchell S. Roth, Managing Partner.

“Their practices and personalities will be immediately accretive to our high-caliber talent base and to our growing firm.”

About Much Shelist Much Shelist is a full-service business law firm based in Chicago, with an office in Irvine, CA. Founded in 1970, Much Shelist has nearly 100 attorneys. The firm offers services in a wide range of practice areas, including corporate law; mergers and acquisitions; private equity; venture capital and emerging growth companies; commercial finance; taxation and business planning; labor and employment; employee benefits and executive compensation; commercial real estate and construction; business litigation and dispute resolution; insurance coverage and risk management; intellectual property and technology; health care law; and wealth transfer and succession planning. For more information, visit www.muchshelist. comor follow the firm on Twitter at @ MuchShelistLaw.

“i’M AlWAyS WAtChing Out fOr My PAtientS, but whO’s watChiNg Out fOr Me?”

we are.

We are the Alliance for Patient Medication Safety (APMS), a federally listed Patient Safety Organization.

Our Pharmacy Quality Commitment (PQC) program helps you implement and maintain a continuous quality improvement program that offers strong federal protection for your patient safety data and your quality improvement work. PQC also helps you comply with quality assurance requirements found in network contracts, Medicare Part D, and state regulations. We offer flexible and powerful tools, ongoing training and support to keep your pharmacy running efficiently, and most importantly, to keep your patients safe.

LearN MOre: Call toll free (866) 365-7472 or visit www.pqc.net PQC is brought to you by your state PharmaCy assoCiation

Immunizations in Adult Immunocompromised Patients: Influenza, Pneumococcal, and Herpes Zoster Jessica Rawlings, PharmD Candidate Jonathan Kinscherff, PharmD, Clinical Oncology Pharmacist While there is limited data on the efficacy and effectiveness of vaccines in the immunocompromised patients, the Center for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommends immunizing immunocompromised patients against vaccine-preventable diseases.1 The level of immunosuppression, timing of the immunization, and risk versus benefit should be considered prior to immunization. In order to obtain the best possible immune response, it is imperative for pharmacists to know the different immunodeficiencies and the risk versus benefit of immunizing depending on the time of immunization. This article will focus on influenza, pneumococcal, and herpes zoster (HZ) vaccinations in immunocompromised adults.

The immune system can be suppressed at birth (primary immunodeficiency) or become abnormal after birth (secondary immunodeficiency).2 Infections, such as HIV/AIDS and tuberculosis, and disease states, including cancer, sickle cell disease, diabetes mellitus, chronic renal failure, rheumatoid arthritis, and systemic lupus erythematosus, are all secondary immunodeficiencies. A list of primary and secondary immunodeficiency is provided in Table 1. Other causes of immunodeficiency include drugs, primarily corticosteroids, as well as surgery, alcoholism, protein-loss, and aging. Knowledge of the patient’s current disease state condition and level of immunosuppression can help when determining if the immunization should be given or deferred. The magnitude and persistence of immune response to a vaccine varies in immunocompromised patients.3 The greater the degree of immunosuppresPAGE 20

sion, the less likely the patient is to respond to immunization. The daily dose of immunosuppressive drugs, CD4 T-lymphocyte counts in HIV-infected patients, and certain drug therapies can all determine a patient’s level of immunosuppression1 (Table 2).

The safety of inactivated vaccines have been studied in various immunocompromised patient populations.4 In 2010, a multicenter, prospective cohort study was conducted to evaluate the efficacy and safety of the inactivated, monovalent 2009 H1N1 vaccine. The vaccine was proven safe among all groups of participants which included the elderly, HIV-infected, kidney transplant, cancer, rheumatoid arthritis, and juvenile idiopathic arthritis patients. ACIP recommends an annual inactivated influenza vaccination in all immunocompromised patients ages 6 months and older.5 With a few exceptions, live-attenuated vaccines are contraindicated in immunocompromised patients.3 The live attenuated influenza vaccine (LAIV) should not be used in low-level or high-level immunocompromised patients.

There are several timing considerations depending on the patient’s diagnosis and treatment. For patients receiving chemotherapy, it is best to administer the influenza vaccine at least 2 weeks before or at least 3 months after treatment.6 The vaccine should not be administered on the same day as cytotoxic therapy. For patients who received anti-B cell antibody therapy or a solid organ transplant, it is best to wait 6 months after treatment completion to administer any vaccines including influenza. If benefit outweighs risk, practitioners may administer the inILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

fluenza vaccine outside of these recommendations. For HIV-infected patients, the best immune responses have been documented when CD4 count is > 100 cells/mm3.7 Depending on the timing of diagnosis and influenza season, practitioners may decide to start antiviral therapy and wait for the CD4 cell count to increase before immunizing.

A 2010 study by Fritz et al looked at the immune response in HIV-negative patients, HIV-infected patients with CD4 count <350 cells/mm3, and HIV-infected patients with CD4 count >350 cells/ mm3.8 Vaccine-induced IgG increased in all groups, but not IgM. This conclusion supports the recommendation of annual influenza vaccinations in all HIV-infected patients.

In 2012, ACIP began recommending the administration of the pneumococcal conjugate vaccine (PCV13) in addition to the 23-valent pneumococcal polysaccharide vaccine (PPSV23) for immunocompromised patients ≥ 19 years of age.9 As of September 2014, it is recommended that immunocompetent patients 65 years of age or older also receive both PCV 13 and PPSV23.10 If the patient is pneumococcal vaccine-naïve, it is recommended to administer PCV13 followed by PPSV23 at least 8 weeks later. If the patient already received PPSV23 vaccine, at least 1 year must pass before administering the PCV13 vaccine. If a patient has recently turned 65 years of age and needs a second dose of PPSV23, there must be a 5-year window between the 2 vaccines. For example, if a 62 year old patient receives PPSV23 because they have been diagnosed with COPD, then the patient should not receive another dose of PPSV23 until they are at least 67 years of age. For cancer

patients undergoing therapy, it is best to administer pneumococcal vaccines prior to starting treatment if possible.

Like the influenza vaccine, administration 3 months after treatment completion results in a better response than giving the vaccine during chemotherapy. An extended interval of 6 months is recommended if the patient received a solid organ transplant or anti-B cell antibody therapy including but not limited to the following drugs: rituximab, obintuzumab, ofatumumab.

According to Infectious Diseases Society of America (IDSA), the incidence and severity of herpes zoster increases with age and level of immunosuppression.1 Since the HZ vaccine is live attenuated, it is not recommended for high-level immunosuppression and is

only licensed for immunocompetent adults ≥ 60 years of age. Risk versus benefit should be assessed for low-level immunosuppressed patients as there is potential to cause severe disease in patients who lack sufficient T-cell mediated immune response. If a patient previously developed primary varicella zoster virus (VZV) immunity, they should have residual VZV-specific immune memory even with immunosuppression. In low-level immunosuppressed patients with warranted HZ vaccination, it should be administered ≥ 4 weeks before initiating highly immunosuppressive therapy or ≥ 3 months after treatment completion.

With one exception, vaccine doses and routes are the same for immunocompromised patients as healthy individu-

als.1 An increased dose for Hepatitis B vaccine may be required in adult hemodialysis patients or HIV-infected patients not responding to the standard regimen. If multiple vaccines are indicated they can be administered simultaneously using the same recommendations as healthy patients. If thrombocytopenia is a relative contraindication for intramuscular injection, the immunizer should use a ≤ 23-gauge needle and apply pressure at the injection site for 2 minutes after administration. PPSV23 and inactivated poliovirus vaccine may be given subcutaneously if needed.

With an increased risk of infection, it is important to prevent bacterial and viral infections in immunocompromised patients through the use of vaccines.

Table 12 Primary Immunodeficiencies

Secondary immunodeficiencies

Diseases Antibody, B cell dysfunction T cell dysfunction Combined B and T cell dysfunction Phagocyte dysfunction Complement deficiencies Cancers associated with immune deficiency: lymphoma, multiple myeloma Sickle cell diseases Diabetes mellitus Chronic renal failure Chronic inflammatory diseases – inflammatory bowel disease Rheumatoid arthritis Psoriasis Systemic lupus erythematosus

Table 2.1 Low-level immunosuppression Receiving low corticosteroid therapy with dose <20 mg of prednisone (or equivalent) for ≥ 14 days or receiving alternate-day corticosteroid therapy Receiving methotrexate (MTX) ≤ 0.4 mg/kg/week Receiving azathioprine ≤ 3 mg/kg/day Receiving 6-mercaptopurine ≤ 1.5 mg/kg/day HIV-infected patient: CD4 count 200-499 cells/mm3 Cancer remission or have not received chemotherapy or radiation for at least 3 months

Infections -

HIV/AIDS tuberculosis

High-level immunosuppression Receiving daily corticosteroid therapy with dose ≥ 20 mg of prednisone (or equivalent) for ≥ 14 days Combined primary immunodeficiency disorder Chemotherapy Within 2 months after solid organ transplantation HIV-infected patient: CD4 count <200 cells/mm3 Receiving certain biologic immune modulators (tumor necrosis factor-alpha (TNF-α) blocker or rituximab)

ILLINOIS PHARMACISTS ASSOCIATION * WWW.IPHA.ORG

PAGE 21

Understanding of the patient’s immunodeficiency and level of immunosuppression can help practitioners assess risk versus benefit of vaccination and assist in the timing of vaccination to best optimize the patient’s immune response. ACIP recommends the use of inactivated vaccines and suggests the avoidance of live attenuated vaccines in those patients who are immunocompromised.

1. Rubin LG, Levin MJ, Davies EG, et al.

2013 IDSA Clinical Practice Guideline for Vaccination of the Immunocompromised Host. Clinical Infectious Diseases. 2013. doi: 10.1093/cid/cit684.

2. Mahon JL, Stiller CR. The immunocompromised patient. Canadian Family Physician.

1987;33:349-359.

3. Centers for Disease Control and Prevention (CDC). Principles of vaccination. In: The Pink Book Epidemiology and Prevention

of Vaccine-Preventable Disease. 12th ed.

Atlanta, GA;2012. http://www.cdc.gov/ vaccines/pubs/pinkbook/prinvac.html. Accessed October 25, 2014.

4. Miraglia JL, Abdala E, Hoff PM, et al. Immunogenicity and Reactogenicity of 2009 Influenza A (H1N1) Inactivated Monovalent Non-Adjuvanted Vaccine in Elderly and Immunocompromised Patients.

PLosOne. 2011;6(11):e27214.

5. Centers for Disease Control and Prevention (CDC). Vaccination: who should do it, who should not and who should take precautions. http://www.cdc.gov/flu/protect/ whoshouldvax.htm#annual-vaccination.

Accessed October 25, 2014.

6. Hibberd PL. Immunizations in patients with cancer. In: Boeckh M, Poplack DG, ed. UpToDate. Waltham, MA. Accessed October 25, 2014.

7. U.S. Department of Health and Human Services, Health Resources and Services Administration. Guide for HIV/AIDS Clinical Care. 2014 ed. Rockville, MD: U.S.

Department of Health and Human Services.

2014.

8. Fritz S, Mossdorf E, Durovic B, et al. Virosomal influenza-vaccine induced immunity in HIV-infected individuals with high versus low CD4+ T-cell counts: clues towards a rational vaccination strategy. AIDS. 2010;24(14):2287-2289.

9. Centers for Disease Control and Prevention (CDC). Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine for adults with immunocompromising conditions: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2012. MMWR Morb Mortal Wkly Rep. 2012;61(40):816-819.

10. Tomczyk S, Bennett NM, Stoecker C, et al.

Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine among adults age >65 years: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep 2014;63:822-825.

UPCOMING EVENTS available online at www.ipha.org

February 13-15, 2015 Midwest Pharmacy Expo March 11, 2015 Illinois Pharmacy Legislative Day Date & Time TBA Regional Pharmacy Law Update CPE

Location(s) TBA

On October 10, 2014, IPhA Region 1 Director Laura Licari met with 11th district US Representative Ann Williams to discuss Health Care Reform and Pharmacist Provider Status.

September 24-27, 2015 IPhA Annual Conference

Westin Lombard Yorktown Center Details & registration coming soon!

Send your events to sandrad@ipha.org.

PAGE 22

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

FINANCIAL FORUM Pharmacy Marketing Group, Inc.

IRA ROLLOVERS FOR LUMP SUM PENSION PAYOUTS Give those dollars the opportunity for further tax-deferred growth.

A big payout leads to a big question. If you are taking a lump sum pension payout from your former employer, what is the next step for that money? It will be integral to your retirement; how can you make it work harder for you?

Citations 1. money.cnn.com/2012/09/01/pf/expert/pension-payments.

moneymag/index.html [9/1/12] 2. www.kiplinger.com/article/retirement/T037-C000-S002-

Rolling it over might be the right thing to do. If you don’t have substantial retirement savings, that lump sum may be just what you need. The key is to plan to keep it growing. That money shouldn’t just sit there.

Even tame inflation whittles away at the value of money over time. Most corporate pension payments aren’t inflationindexed, so those monthly payments eventually purchase less and less. Lump sums are just as susceptible: if you receive $100,000 today, that $100,000 will buy 50% less by 2028 assuming consistent 3% inflation (and that is quite an optimistic assumption).1,2 Putting it in the bank might cause you some financial pain.

If you just take your lump sum payout and deposit it, all that money will be considered taxable income by the IRS. (There are very few exceptions to that rule.) Moreover, you won’t get the whole amount that way: per IRS regulations, your employer must withhold 20% of it.2,3 Don’t you want to postpone paying taxes on those assets?

By arranging a rollover of your lump sum distribution to a traditional IRA, you may defer tax on those dollars. You can even defer tax on a distribution already paid to you if you roll over the taxable amount to an IRA within 60 days after receipt of the payout.3 In doing so, you are keeping those assets in a tax-deferred account. They can be invested as you like, and that money will not be taxed until it is withdrawn. (You may only transfer a lump sum distribution from a company pension plan into a traditional IRA – you may not transfer it to a Roth IRA.)4 If you are considering taking a lump sum payout, make sure you position that money for additional tax-deferred growth.

Talk to a financial professional who can help you with the paperwork and get your IRA rollover going.

pensions-take-a-lump-sum-or-not.html [9/11] 3. www.irs.gov/taxtopics/tc412.html [1/4/13] 4. www.fool.com/retirement/manageretirement/managere-

tirement2.htm [1/21/13] Pat Reding and Bo Schnurr may be reached at 800-288-6669 or pbh@berthelrep.com.

Registered Representative of and securities and investment advisory services offered through Berthel Fisher & Company Financial Services, Inc. Member FINRA/ SIPC. PRISM Wealth Advisors LLC is independent of Berthel Fisher & Company Financial Services Inc. This material was prepared by MarketingLibrary.Net Inc., and does not necessarily represent the views of the presenting party, nor their affiliates. All information is believed to be from reliable sources; however we make no representation as to its completeness or accuracy. Please note - investing involves risk, and past performance is no guarantee of future results. The publisher is not engaged in rendering legal, accounting or other professional services. If assistance is needed, the reader is advised to engage the services of a competent professional. This information should not be construed as investment, tax or legal advice and may not be relied on for the purpose of avoiding any Federal tax penalty. This is neither a solicitation nor recommendation to purchase or sell any investment or insurance product or service, and should not be relied upon as such. All indices are unmanaged and are not illustrative of any particular investment.

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

ILLINOIS PHARMACISTS ASSOCIATION * WWW.IPHA.ORG

PAGE 23

HelixTalk: An RFUMS Podcast Series The College of Pharmacy at Rosalind Franklin University of Medicine and Science (RFUMS) is pleased to introduce HelixTalk, an online podcast series created and produced by RFUMS faculty.

The series tackles today’s hottest pharmacy topics with episodes that can be downloaded, free of charge, on iTunes, by searching for “HelixTalk” in the iTunes library.

Named in honor of the revolutionary work of the University’s namesake, the series was originally developed as supplementary teaching material for students and focused on the top 200 drugs.

Students found the content to be an incredibly useful study tool, and they appreciated the flexibility the podcast format afforded; students regularly listened on the train, during a workout, or whenever else they could pop in headphones for about 30 minutes per episode.

In April of 2014, RFUMS faculty expanded the topics beyond the top 200 drugs and the series was renamed HelixTalk. Podcast topics now run the pharmacy gamut, ranging from new clinical guidelines to tips to obtaining a residency after graduation.

User reviews indicate that not only are RFUMS students fans of these brief, engaging topic discussions, but students from other pharmacy schools and practicing pharmacists are regularly downloading HelixTalk podcasts as well. According to Sean Kane, PharmD, Assistant Professor, Critical Care Pharmacist, and HelixTalk creator, “We get feedback all of the time from students around the country about how they use HelixTalk for NAPLEX review. Pharmacists also like the podcasts to help them stay up to date on current topics, especially when new guidelines come out.”

RFUMS faculty members Khyati Patel, PharmD, Michael Shuman, PharmD, and Sean Kane, PharmD, discuss hot pharmacy topics during a HelixTalk podcast recording.

HelixTalk has a fan base of not only listeners but speakers, too.

“It’s great to openly chat about your experience with different therapies and to hear about your colleagues’ practice experiences as well,” says Khyati Patel, PharmD, Assistant Professor and Ambulatory Care Pharmacist and regular HelixTalk contributor.

“We often have other health professionals weigh in on topics so that our listeners can get an interprofessional perspective. I’m there as an expert, but I’m learning, too.”

Have a topic you’d like to hear about in an upcoming HelixTalk, or want to lend your expertise to an upcoming episode? Please contact Sean Kane at sean.kane@roslaindfranklin.edu.

A million Chicagoens have no corner drugstore Dima Qato knows that despite the ads, there isn’t always a pharmacy on the nearest corner.

She, along with colleagues at the University of Illinois at Chicago and collaborators at Brown and Northwestern universities, have mapped proximity and access to drug stores in neighborhoods across Chicago.

They found that nearly one million people in the south and west sides of Chicago live in “pharmacy deserts,” where just getting to a drug store poses a challenge. They PAGE 24

defined having no pharmacy within a half-mile as a pharmacy desert for a low-income community with limited vehicle accessibility; for communities with adequate vehicle accessibility, the defining radius extends to a mile.

“There are persistent racial and ethnic disparities in the use of prescription medications,” said Qato, who is assistant professor of pharmacy systems, outcomes and policy in the UIC College of Pharmacy. “The south and west sides of Chicago are made up predominantly of black and Hispanic residents,” she said.

Disparities in medication use and health outcomes may worsen if future policies continue to focus exclusively on insurance ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

coverage and fail to ensure the geographic accessibility of pharmacies in minority communities, Qato said.

“Our findings could inform strategic decisions about the geographic distribution of pharmacies – for example, the incorporation of pharmacies into newly developed community health centers that are expected to expand in designated Medically Underserved Areas as a result of the Affordable Care Act,” she said.

Co-authors on the paper were Dr. Martha L. Daviglus, Jocelyn Wilder and Todd Lee, all of UIC; Danya Qato, Brown University; and Bruce Lambert, Northwestern University.

St. Louis College of Pharmacy celebrated our sesquicentennial on Nov. 11. The celebration began in September during a reception on our campus for the Missouri Pharmacy Association and Illinois Pharmacists Association Annual Convention. We also marked our 150th anniversary by holding the largest STLCOP C.A.R.E.S. initiative (Community Awareness Reaching Everyone in St. Louis) ever held. This annual event focuses on making a difference in the community. Our students conducted medication reviews and health screenings in a variety of settings across the region and volunteered at numerous community service projects. In all, they contributed thousands of hours of their time and helped improve the lives of hundreds of people across our region.

The sesquicentennial celebration concluded with a black-tie gala and a convocation featuring John Gans, Pharm.D., former executive vice president and executive officer of the American Pharmacists Association and dean emeritus at Philadelphia College of Pharmacy. It was a pleasure seeing so many familiar faces in attendance who have added to the profession in our region and across the country.

The SIUE School of Pharmacy students had a very successful trimester. James Langley (P4) and Ray Jhala (P3) were the WalMart/Pharmacy Times Respect, Excellence and Service in Pharmacy (RESPy) Award winners for October and November 2014, respectively. The RESPy Award began as recognition for extraordinary humanitarian work in the community and has become a continuing salute to pharmacy students’ service nationally. The SIUE School of Pharmacy student team consisting of Jessica Kerwin (P4), Jaymi Holloman (P4), Zac Hill (P3) and alternate Billee John (P4) participated in the live quarterfinals of the 2014 American College of Clinical Pharmacy (ACCP) Clinical Pharmacy Challenge October 11-13, 2014.

Scott Sexton, a second-year professional student, was elected as the American Pharmacists Association Academy of Student Pharmacists (APhA-ASP) Region 4 delegate at the APhA-ASP Midyear Regional Meeting held in November

2014. This is the first time the SIUE School of Pharmacy has held a national position in this student organization. Also, the Student Society of Health-Systems Pharmacy (SSHP) chapter received the first Outstanding Professional Development Project Award from the American Society of Health-System Pharmacists at the Midyear Meeting in December 2014. The award-winning project was Augmenting Advanced Pharmacy Practice Experience (APPE) Through the Addition of Pharmacy Practice Model Initiative (PPMI).

As we celebrate this milestone, we continue to build on our historic strengths and prepare for an exciting future. Our academic program, which includes three undergraduate years and a fouryear professional program leading to a Pharm.D. degree with an integrated bachelor’s degree, prepares students for

In faculty news Dr. Kelly Gable, associate professor in the Department of Pharmacy Practice in the School of Pharmacy received the SIUE’s 2014 Teaching Excellence Award winner, she provided the commencement address on December 13, 2014. Gable dispensed some simple life lessons and challenged the graduates to never give up making the world a better place.

ILLINOIS PHARMACISTS ASSOCIATION * WWW.IPHA.ORG

the expanding role of pharmacists on health care teams. Faculty and students are impacting health care around the globe through advanced pharmacy practice experiences and international programs, and the college continues to be at the forefront of the profession. Terry Seaton, Pharm.D., professor of pharmacy practice, was recently installed as President-Elect of the American College of Clinical Pharmacy (ACCP), and President John A. Pieper is assuming the position of chair of the Board of Pharmacy Specialties (BPS).

Their work will benefit both the College and the profession.

It is an exciting, historic time at the college, and we extend an open invitation to all of you to visit campus.

Photo: Dr. Kelly Gable

PAGE 25

With your help, the IPhA Foundation helps pharmacists and student pharmacists be the best practitioners and leaders in healthcare.

Thanks to the following for their generous contributions in 2014: Executive Level ($1000+)

Anthony Budde Stephen Clement Timothy Lehan Randy Malan Marlin Weekley

Gerald Lavengood David Mikus Garth Reynolds Tom Rickey Cindy Russell Brett Schott Richard Sprehe Sponsor Level ($100 - $249)

Director Level ($250 - $999)

Robert Anselmo Ben & Katie Calcaterra Thomas Ciecka Cynthia Gelsthorp Henry Gould Kimberly Griffith Donna Jagmin Jason Kasair Donna Kay Paul Krynski

Eric Bandy Gary Ceretto Beaux Cole Judith Douglas Jeff Ellis Gary Frisch Timothy Gleason John Groesbeck Jessica Kerr

Randall Lambert Pamela Reynolds Robert Schnarr Bruce Wood Harry Zollars Donor Level (up to $99)

Sam An Jessie Bergman Scott Bergman Amy Chen-Patriarca Elaine Cue Gregory Dill Donald Doubek Eugene Frank Robert Funk Jennifer George John Glowicki Don Gronewald

Mary Anne Herman Ann Hobel Terry Johnson Janice Kleppe John Knapp Charles Lange Laura Licari Gordon Mazotti Chris Osborne Roger Pfister Nicholas Popovich James Shafer Patricia Steward Bruce Stout Melissa Strube Brian Tatro Terry Traster John Velk Richard Welch

Name/Address Pledge Form I wish to support the IPhA Foundation goal of funding the cost of the IPhA Clinical Programs Coordinator, which is critical to transforming IPhA into a patient concentric organization that provides the clinical skills and tools to help pharmacists deliver the highest quality of care possible to their patients. I pledge: q A single contribution of: $ __________ q Please charge my credit card $___________ for 1 year. q Please charge my credit card $___________ until I notify otherwise.

Total Pledge Amount: $ __________ Sponsor Level: $100 - $249 Donor Level: up to $99 Student Level: $10

Contributions to the IPhA Foundation, a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code, are deductible for computing income and estate taxes.

PAGE 26

Contribution Details q My check is enclosed (Payable to IPhA Foundation) q Please charge my: m Visa m MC m AmEx Name on card: _____________________________________ Card #: ___________________________________________ Signature: _________________________________________

(Used to determine donor level) Presidential Level: $5000+ Executive Level: $1000+ Director Level:â&#x20AC;Ż$250 - $999

First: _______________ MI: ___ Last: __________________ Is this your: q Home q Business/Organization Bus/Org: __________________________________________ Street: ____________________________________________ City: _____________________ State: ____ Zip: _ _______ H-Phone: _______________ B-Phone: __________________ Email: ____________________________________________

Expiration Date: ____________________ CVV: ___________

Send To IPhA Foundation 204 West Cook Street Springfield IL 62704-2526

ILLINOIS PHARMACIST (JAN/FEB/MAR 2015 - VOL. 77-NO. 1)

Fax: (217) 522-7349

Contact Information

Name: _____________________________________________________________________ Street Address: ______________________________________________________________ City: _________________________________ State: ________ Zip+4: ______________ Senate District Number: _________________

House District Number: ________________

Phone: ______________________ Email: ________________________________________ Yes, I want to invest in the future of pharmacy in Illinois!

The Illinois Pharmacists Political Action Committee (IPPAC) is a voluntary non-profit unincorporated committee of Pharmacists with an interest in the election of qualified state (and local) candidates to public office and to further the interests of Pharmacy in the State of Illinois

m Enclosed is my single contribution of: q $5,000 q $2,000 q $1,000 q $500 q $250 q $100 q $50 q Other $_________ m I would like to contribute on a monthly basis until I notify IPhA to discontinue.

Please charge my credit card $______ on the 15th of each month. m I would like to contribute on a monthly basis for one year: Please charge my credit card $______ on the 15th of each month.

Payment Information

q My check payable to IPPAC is enclosed q Please charge my: m Visa m MC Political contributions are not tax deductible.

A copy of our report filed with the State Board of Elections is (or will be) available for purchase from the State Board of Elections, Springfield, IL.

m AmEx

Card Number: __________________________________ Expiration Date: _________________ CVV: _________ Signature: _____________________________________ Date: _________________________________________

Mail To IPPAC 204 West Cook Street Springfield, IL 62704-2526 Fax To (217) 522-7349 For More Information (217) 522-7300

Thanks to the following for their generous IPPAC contributions in 2014: • • • • • • • • • • • • • • • • • • •

Robert Anselmo Erin Beebe Thomas Beverly Michael Brown Anthony Budde Timothy Cagney Amy Chen-Patriarca Stephen Clement Elaine Cue Donald Doubek Robert Funk Henry Gould Kimberly Griffith John Groesbeck Donald Gronewold Norman Hoback Rick Ingram Donna Kay Janice Kleppe

• • • • • • • • • • • • • • • • • •

John Knapp Larry Korelc Gerald Lavengood John McLachlan Michael Minesinger Randy Newberry Christine Osborne Ramesh Patel Roger Pfister Garth Reynolds Robert Schnarr Patricia Steward Bruce Stout Melissa Strube John Velk Marlin Weekley Bruce Wood Harry Zollars

ILLINOIS PHARMACISTS ASSOCIATION * WWW.IPHA.ORG

PAGE 27

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