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2nd/3rd/4th Quarter 2016 • www.ipha.org

Meet the 136th IPhA President Ben Calcaterra, RPh

2016 Illinois Pharmacists Annual Conference Highlights Inside


IN THIS ISSUE COLUMNS

page 37

4 President’s Perspective 7 Executive Director’s Viewpoint 11 From the Editor 12 SIUE School of Pharmacy 13 Midwestern University 14 UIC College of Pharmacy 22 St. Louis College of Pharmacy 26 Rx and the Law

FEATURED THIS ISSUE 28 Award Winners 32 2016 Annual Conference Highlights

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page 42

ADVERTISER’S INDEX 3 HD Smith 5 Lindsay Law 5 Illinois Professionals Health Program 6 Pharmacy Advocacy Fund

23 PAAS 25 PTCB 27 PQC 47 Match Rx

Back Cover Pharmacists Mutual Companies IPhA Executive Committee Chairman of the Board Eric Bandy, RPh eric@bandys.biz President Ben Calcaterra, RPh ky_bjc@yahoo.com Vice President Laura Licari, PharmD llicari@hotmail.com President Elect Jessica Kerr, PharmD, CDE jekerr@siue.edu Treasurer David Mikus, RPh davetravel1@aol.com

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.

IPhA Staff Executive Director Garth Reynolds, RPh greynolds@ipha.org Accounting Manager Erica Burris ericab@ipha.org Member Services Manager Kimberly Condon kimc@ipha.org Administrative Assistant Sandra Dial sandrad@ipha.org Director of Clinical Programs Starlin Haydon-Greatting, RPh starlin@ipha.org

Secretary Beaux Cole

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

VOLUME 79, NUMBER 2 (2nd/3rd/4th Qtr 2016): 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.

VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


I CHOOSE A

TRANSPARENT WHOLESALER hdsmith.com | 217.529.0211

Helping You Care For Your Community


Meet the 136th Illinois Pharmacist Association President

Family, Friends, colleagues, peers and esteemed guests

F

“Are you willing to fight for your profession?” Let’s come back to that:

irst, Thank you to Kate, my To my mentors: Going back to my beautiful wife, for sacrificing earliest beginnings I have always been so much to allow me to be away around people in my life that have so often to pursue this goal. She shaped my pharmacy career. Ernie is my daily support to allow this LeQuatte (Past-president) not only to happen and is the only reason sold my dad his pharmacy that we are I haven’t looked for a personal running today but has lived across secretary. If any of you new the street since I was old enough to pharmacists are questioning if you remember. Sam Enloe (another Pastshould become a preceptor? You President), from family vacations should. Not only is it gratifying to countless amounts of advice in to teach the next generation of building new pharmacy relationships. pharmacists on their rotations, you Gary Bandy, who has been around MAY actually meet your future wife IPhA President, Ben Calcaterra since my earliest pharmacy memories. on said rotation. And of course Knute Connell (another Past-President), I literally could not have been here Thank you to my children, Isabella, Chloe and Cooper. without him as he works countless shifts for me when I Those cute little rascals you’ve seen running around have meetings and conferences. He has really bent over all weekend. You also have to sacrifice by not having backwards for me and continues to make my life easier me home as much as you’d like. And, I’m sorry for that by being so easy going with my hectic schedule. but we’ll play tickle monster soon, ok? I keep joking that they are here interviewing for the StLCoP class My mentors also include the St Louis College of of 2030. So, Dr Piepert don’t be so surprised when my Pharmacy. President Piepert wasn’t there when I was kids keep running up to give you hugs! in school, but the college provided the knowledge base I needed to succeed. And if you haven’t seen To my parents: I would definitely not be here without the college’s new campus you really should. It is an you! By instilling the values in me that has shaped astonishing exhibit of beauty that every student will be my moral compass, my successes are a direct result proud of, and beyond its looks, the building is a novel of you and everything you’ve done for me. Pharmacy piece of academic ingenuity. It really is ahead of its really was injected in my blood. Some of my earliest time and is unbelievable! memories are of our old retail store in Herrin. I remember coming in on Sundays after church and And finally my IPHA family and staff. If I could have opening the store with my parents. My job was simple: the staff stand up please? Congratulations on a great grab the stack of newspapers and bring them in to be conference! Let’s not forget Tim and Dustin, the time sold. Maybe I remember the trust they had to give me you have graciously donated does not go unnoticed. a pair of scissors to cut the twine but I’ve been in the Thank you! I’ve been on the Board now for over 7 years pharmacy ever since. and have made lasting and meaningful connections with

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so many people that I must thank. I remember when Eric Bandy called me up and asked me if I’d be interested in filling his vacated position. I wouldn’t have ever imagined it would turn into this moment. But how wonderful and gratifying it has been to serve this Association, and see it develop into what it is today. And with great pharmacy leaders like Starlin and Garth, everyone participating in the PSMP program, pushing us in the direction of Provider recognition on a national level we are destined for a greater future. Since we have just entered National Pharmacist’s Month we need to come together as a profession to be recognized as the health care providers we are. Great strides are being made but we need you, now, more than ever. We need members. We need support. We need your help. This year you will see the membership committee, chaired by Laura Licari, make some impressive gains in changing the ways we recruit and retain members. We need to engage our membership better and make sure they are kept informed. Eric started a push for PBM transparency last year and I intend to continue the fight. We ran into roadblocks last year because of our state spending a few more hours than normal discussing a budget which prevented our message from taking hold. We need this to happen now. With scary trends like DIR fees and claw backs and minuscule reimbursement rates, the PBM’s have a dictatorship over our profession and we are in danger of losing what little control we still have. We have heard talks this conference about Medical Homes and Community Pharmacy Enhanced Services Networks; we have created the PSMP program that allows pharmacists to be coaches for patient self-care in the community setting. This all involves a community pharmacist having real, one-on-one interactions with a patient and it is all in danger if we allow the PBM’s to write us out of their contracts. We have to fight to keep our patients. To do that we need help recruiting members that will help our finances which will help our lobbying efforts which will, in turn, help our profession. So, I ask you today: When we call, are you willing to help? “Are you willing to fight for your profession?” ILLINOIS PHARMACISTS ASSOCIATION

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

Thank you to

Eric Bandy Scott Bergman Byron Berry Tony Budde Ben & Katie Calcaterra Gary Ceretto

the 2016 donors:

Steven Clement Beaux Cole Joyce Fogleman Tim Gleason Doug Higgins Dave Mikus

Bill Powers Pam Reynolds Cindy Russell 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.

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

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CVV: _____________

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Exp Date: ____________________________

Signature: _____________________________________________________

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

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Executive Director’s Viewpoint

Our Sacred Vow

“I will apply my knowledge, experience, and skills to the best of my ability to assure optimal outcomes for my patients.” –

IPhA Executive Director

From the Oath of a Pharmacist

A

Garth K. Reynolds, BSPharm, RPh

December 16, 2016 Chicago Tribune entitled

care. There are additional concerns in varying parts of this machine that need to be addressed going forward.

has brought focus on the responsibility of pharmacists’ interaction with our patients and how we are communicating with them and their health care team.

As with other health care providers, pharmacists are challenged in this economic environment, due to the structure of our health care system, to uphold the fine balance of what is considered acceptable in maintaining a sustainable practice and quality patient care. All health care practices are a business in their operation and have a responsibility to provide health care services (including medications) in a safe and effective manner.

Pharmacies Miss Half of Dangerous Drug Combinations

The Chicago Tribune investigation results are disturbing and inexcusable. But the evidence presented in the investigation should not be extrapolated to be a representation of the overall practice of pharmacy. This investigation does not represent the state of pharmacy practice in the entire state or the country. IPhA has concerns about the research design utilized by the Tribune to examine the question of patient safety and the pharmacist interaction with the prescriber or the patient. The issues brought forward in the article aim the spotlight on a single gear of a much larger machine that is health

Pharmacists are health care providers and professionals that should never be: • Pressured by an operational policy or procedure; • Assumed by a payor to provide medication and/or patient care services at unreasonable or unsustainable remuneration; or ILLINOIS PHARMACISTS ASSOCIATION

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• Expected to deliver patient care in any format or time frame that does not engender and preserve patient safety and effective treatment as the standard of care for each and every patient. As health care providers, pharmacists should take care to manage workflow efficiency and maximize utilization of pharmacy technicians and student pharmacists. Pharmacy technicians and student pharmacists enable pharmacists to free-up a great deal of tasks that do not require the clinical expertise that must be the pharmacist’s focus in providing quality and safe patient care. It is the responsibility of all members of the pharmacy team, not just the pharmacist-in-charge, to ensure that patient safety and quality care is provided and maintained. “Practice of Pharmacy” stipulates that pharmacists are able to provide the following, but not limited to: 7


Executive Director’s Viewpoint • Dispensing of drug orders • Participation in drug and device selection • Drug regimen review • Provide patient counseling • Provide pharmacist care • Medication Therapy Management. According to the Pharmacy Practice Act and Rules, a patient may be offered patient counseling. Pharmacists need to take every opportunity to communicate and educate patients on their medication regimen. These communications open opportunities to provide preventative health services and to educate about health conditions. Patient counseling may also reveal issues that could require communication with other members of patient’s health care team. Patient’s excel when all members of their health care

team are in communication with each other and ultimately the patient. Patient safety, medication education, and delivery of care services are essential to the practice of pharmacy. Pharmacists are the medication experts. We are specifically educated and trained in drug regimen analysis and medication optimization. It is a pharmacist’s responsibility and duty to educate our patients on their medication regimen and disease states. And when needed, a pharmacist is to intervene on behalf of the patient to verify with members of the health care team concerning the treatment being proposed and to offer alternatives that are in the best interest of the patient. Health care needs to be a team approach and must always be patient-centered. Pharmacists are part of the patient’s health care team. Physicians, Physician Assistants, Nurse Practitioners, Pharmacists, and other health care

providers and professionals all participate and accept responsibility for a patient’s care and safety. IPhA has been and will continue to be at the table for the advancement of our profession and protection of our patients. The Tribune article and others like it bring attention to the profession and is an opportunity to reflect and renew our purpose. But these articles do not replace the professional and clinical judgement and especially the patient care that is delivered by each of you every day. Pharmacists must be committed to our patients and their safety. This is our sacred vow and cornerstone of our relationship that we build together. Note: This article was written prior to publication of this issue. For continued updates on this situation please stay alert for member-only communications and at ipha.org.

www.facebook.com/ILPharmacists

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2016 Recipients of the “Bowl of Hygeia” Award

Buddy Bunch Alabama

John Cotter Alaska

Carl Labbe Arizona

Jon Wolfe Arkansas

Fred Mayer California

Randy Knutsen Colorado

Ernie Mrazik Connecticut

Pat Carroll-Grant Delaware

Armando Bardisa Florida

Hugh Chancy Georgia

Marcella Chock Hawaii

Joyce Fogleman Illinois

H. Christian Johnson Indiana

Ken Anderson Iowa

David Schoech Kansas

Ron Poole Kentucky

Marty McKay Louisiana

Roberta Brush Maine

Ellen Yankellow Maryland

Diane Martin Massachusetts

Geri B. Smith Michigan

Linnea Forsell Minnesota

Robert Salmon Mississippi

David Eden Missouri

Tobey Schule Montana

Adam Porath Nevada

John V. Mini, Jr. New Hampshire

Stephen Brickman New Jersey

Jack Volpato New Mexico

Mike Duteau New York

Joseph Moose North Carolina

James Carlson North Dakota

Marialice Bennett Ohio

Greg Huenergardt Oklahoma

Ann Murray Oregon

Gayle Cotchen Pennsylvania

Francisco Javier Jiménez Puerto Rico

Heather Larch Rhode Island

Dan Bushardt South Carolina

Curt Rising South Dakota

Ronnie Felts Tennessee

Nathan Pope Texas

Gerald Petersen Utah

Alex Wiatt Virginia

Nanci Murphy Washington

The “Bowl of Hygeia”

Patricia Noumedem Washington DC

Robert Stanton West Virginia

James Olson Wisconsin

Jaime Hornecker Wyoming

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. ILLINOIS PHARMACISTS ASSOCIATION

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

ONLINE CAREER CENTER www.ipha.org


From The Editor

Thoughts from the field about revising the

Pharmacy Practice Act IPhA Editor

Jeffery Ellis, RPh

B

eing a chain pharmacist at a “big box” store, the game on the ground (not in the elevated offices of the MBA’s) is getting interesting. This has been a “race to the bottom” for awhile, and the stakes have just been ramped up hugely. 30% of our business is Blue Cross since CVS has lost the contract in Illinois, as far as I can tell (Reminder: staff pharmacists-out of the financial loop). The future portends mass migrations of prescriptions each January as the pharmacy-dejour changes each year. These transfers are extremely time consuming in a business where seconds count. I understand no one cares (and I mean NO one) how much time I spend on the phone transferring prescription, but the cost of a transfer in time and money is large. But the main concern is the probability of prescription errors goes up exponentially. We have spent, and continue to spend, huge dollars on e-prescribing from doctors while we use 1950’s technology to transfer between pharmacies. We have to address this and soon. It can’t be that hard to let one pharmacy request the transfer and another pharmacy respond electronically. I am 98% sure we have the wherewithal to do it now. Another question I have is why-oh-why do I have to put the address of the patient and the DEA number of the prescriber on the face of a controlled prescription?

It is all on the sticker on the reverse of the prescription. And, more importantly, it is in the computer where I look up all the information the prescriber refuses to put on the prescription. (Where does anyone think I get the information?) Is it so if the computer is non functional, the state inspector can at a moment’s notice access this information? This is a lot of work for not much payoff. (And I would have much larger problems than inconveniencing a state inspector. Also, remember the sticker on the back of the hard copy?) I don’t mind work, but I do mind unnecessary Mickey Mouse work. Most importantly, how does any of this triviality help the patient? I can also see where all this redundancy could distract me enough to override interaction prompts while I try desperately to catch up on work flow. Then I end up on the front page of the Chicago Tribune! Pushing for Health Care Profession recognition and PBM transparency and Clinical Services, etc. is all well and good and absolutely necessary. But if you want to support and attract Community Pharmacists to the IPhA we need to remember the poor working stiff at the front line and make their life easier. Then tell them multiple times in multiple ways. Jeff Ellis, R.Ph.

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Pharmacy Student at American Association of Diabetes Educators Annual Meeting

E

arlier this summer, I was given diabetes can be deterred through the amazing opportunity to lifestyle modifications and prescription attend the American Association of medication management. In the past Diabetes Educators (AADE) annual three years alone, there have been 15 meeting in San Diego, California. new insulins and diabetes medications As a final year pharmacy student approved by the FDA. This offers completing a rotation with the Illinois an opportunity for pharmacists to Pharmacists Association, I was excited apply their unique skills and work to learn more about the diverse hand-in-hand with other health care world of pharmacy and the immense professionals to ensure our patients are possibilities that follow a Pharm receiving the best possible care. D. The AADE is a unique interSarah Wagner, Pharmacy Student This year the AADE annual conference disciplinary association that includes hosted thousands of diabetes educators, registered nurses, dietitians, physicians, pharmacists, providing educational materials on the recent advances psychologists, and many other health care professionals in the care and treatment of diabetes. I and two other who have chosen to expand their learning and specialize pharmacy students met many different pharmacists in diabetes education. Earning the title of Certified who worked in both the managed care and ambulatory Diabetes Educator (CDE) is a monumental feat. The care setting. It was inspiring to see them become certification process requires a minimum of two years more integrated in health care by providing direct in your desired discipline, at least 1,000 hours of DSME patient care. One pharmacist was running a diabetes experience, and a minimum of 15 hours of CE activities clinic through a VA, another was providing diabetes applicable to diabetes within the past 2 years before an education at her self-owned independent pharmacy. applicant can sit for the exam. Through these examples, I saw the old stereotype Diabetes is an all-encompassing disease that can of pharmacy slowly waning. These mold breaking literally effect a patient from head to toe. However, pharmacists are stepping from behind the counter many of the dire complications associated with and conquering the patient-centered care model.

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Midwestern University

Midwestern University Pharmacy Student Awarded Prestigious Schweitzer Fellowship DOWNERS GROVE, IL (August 17, 2016) — Midwestern University student Jenny Lin has been selected for the nationally recognized Schweitzer Fellowship, a program for graduate students who aspire to become lifelong leaders in community service. Ms. Lin, a second-year pharmacy student at Midwestern University’s Chicago College of Pharmacy (CCP), joins 31 exceptional graduate students from Chicago-area universities who will design and implement innovative community-based projects to address the health needs of underserved Chicagoans. For her project, Ms. Lin will work with the Midwest Asian Health Association center in Chicago’s Chinatown neighborhood to improve the participants’ physical and mental well-beings through a series of exercise and educational sessions focused on disease prevention and healthy lifestyle modifications. “Many members of the Chinese American immigrant population of Chicago’s Chinatown district work long hours as cooks, servers, or as seamstresses,

trying to make ends meet with little time dedicated towards a healthy diet and exercise. My project will seek to educate this growing Asian community on the importance of an active, healthy lifestyle through exercise and dietary changes,” Ms. Lin said. Named in honor of humanitarian and Nobel laureate Albert Schweitzer, the Chicago Area Schweitzer Fellows Program encourages students to “make their lives their argument” by helping address unmet health needs among vulnerable Chicago residents. In collaboration with existing clinics, schools, social service agencies, and other community organizations, each Schweitzer Fellow provides 200 hours of direct service, separate from and in addition to their already demanding academic and clinical requirements. As a new Schweitzer Fellow, Ms. Lin joins the more than 550 Chicago program alumni who have provided over 110,000 hours of community service over the course of the program’s 20-year history.

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Pharmacist’s Role in the Opioid/ Heroin Crisis Act Sara Gubala, PharmD Candidate 2018 • University of Illinois at Chicago, Rockford Campus

he opioid and heroin crisis is a public health issue affecting all communities at every level. Village law enforcement, families, treatment centers, first responders, physicians and pharmacists play an integrated role in combatting this crisis. This multifront approach was catalyzed from a fundamental change in social perception, acceptance and awareness that addiction is a true disease and these individuals need support from multiple divisions within our communities.

The Illinois Pharmacists Association (IPhA) has actively participated in task forces that have been established statewide to combat the heroin/ opioid crisis. As the IPhA Summer Intern, I have had the opportunity to work with task forces in Lake County, Chicago, and Southern IL. Lake County and Chicago’s task forces were much more advanced in regards to planning, finances and resources. While Southern IL was turning away patients due to lack of treatment beds, Lake County was trying to reach more patients to go through their underutilized “A Way Out” program. Unfortunately, heroin and opioid use affects every community throughout the state and rural areas in Illinois are in dire need of support.

Pharmacists play many roles in combatting the opioid/ heroin crisis. The utilization of the Illinois Prescription Monitoring Program (ILPMP) and patient interactions place pharmacists at the front line in identifying those with a pattern of addiction, drug misuse and abuse. Unfortunately, not many pharmacists know the next step to take in giving their patients the help they need. This is where collaboration between the patient’s physician, treatment centers, and communities is crucial.

While the unity of different organizations and members of the community is inspiring, there is a still an important piece of the puzzle that remains underrepresented. Past and present heroin/opioid users offer a unique and important perspective that is underutilized to understand how opioid and heroin use begins, factors that cause relapse, and the most effective treatment options. It is wonderful that there is so much support available for users, but there needs to be a way to connect with them so can they receive the help they need.

In addition to identifying those with addiction, pharmacists are an important asset in expanding access to opioid antagonists. Recent legislation has allowed trained pharmacists to provide naloxone to anyone who may benefits family members of someone at risk of overdose, first responders, individuals at risk of overdose and trained school nurses. Unfortunately, due to high acquisition costs, many pharmacies are neither stocking the medication nor taking the time to get pharmacists trained if they haven’t seen a demand thus far. Getting information out to the public is a critical step in addressing this problem and, ultimately, saving lives. The expansion of naloxone administration has undoubtedly proven beneficial; however, there is still a need to develop protocols for handling patients saved by naloxone. 14

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The current crisis needs support at every level: community, education, law enforcement, treatment, prescribing, dispensing, etc. Pharmacists are an integral part in combatting the opioid/heroin crisis as they are uniquely situated to help support those with addiction and aid in dispensing naloxone. Each task force meeting I attend, I am continually inspired me to see how involved communities are in combatting this crisis and regardless of barriers, they remain optimistic and hopeful. •

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Monday, August 29th, 2016 Dear Foundation Board: I cannot begin to express my gratitude for sponsoring my summer internship with the Illinois Pharmacists Association. The opportunity to work with IPhA has been truly rewarding. This internship has allowed me to experience the never ending work IPhA does to further the quality of patients’ healthcare and expand the role of pharmacists within the medical communities they serve. I am honored that I was able to assist an association whose passion knows no bounds. As a future pharmacist, it was inspiring to witness firsthand the underappreciated support that drives our profession. Throughout my internship, I was able to attend House and Senate meetings for pharmacy related legislation as well as participate in research and education of important bills. I personally witnessed the support IPhA offers to individuals and communities through attending local and statewide meetings such as the Chicago, Lake County, and Southern Illinois Opioid Task Forces. I was also fortunate enough to attend the American Association of Diabetes Educators (AADE) Annual Conference in San Diego and network with other healthcare professionals who share the same passion for patient care. This internship has helped me develop invaluable skills to assist my career. In addition to the extraordinary networking experiences, I have developed lasting relationships with my mentors and student colleagues. Thank you again for the wonderful opportunity to spend my summer with IPhA. As president of my school’s IPhA chapter, I will be bringing back the same inspiration and advocacy for pharmacy that I learned this summer. I will without doubt continue to remain active within IPhA and will always be ready to support the association that helped foster my passion for pharmacy. Please extend my appreciation and gratitude to the entire IPhA team. Sincerely, Sara Gubala PharmD Candidate 2018 University of Illinois at Chicago Rockford IPhA Summer Intern 2016

Applications for the 2017 IPhA Summer Internship in Association management are still being accepted until March 31st. Contact the IPhA office for details.

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Name/Address First: _______________ MI: ___ Last: ______________ Is this your: q Home q Business/Organization Bus/Org: ______________________________________ Street: ________________________________________ City: _____________________ State: ____ Zip: ____ H-Phone: _______________ B-Phone: ______________ Email: ________________________________________

Pledge Form I wish to support the IPhA Foundation goal of providing support in the form of grants, scholarships, and professional expertise for pharmacist delivered patient care initiatives designed to optimize patient health outcomes, student participation in IPhA activities, and the preservation and promotion of the history of pharmacy in Illinois.

Contribution Details

q A single contribution of: $ __________ q Please charge my credit card $___________ for 1 year.

q My check is enclosed (Payable to IPhA Foundation) q Please charge my: m Visa m MC m AmEx Name on card: _________________________________ Card #: _______________________________________

q Please charge my credit card $___________ until I notify otherwise. Total Pledge Amount: $ __________

Signature: _____________________________________

(Used to determine donor level) Presidential Level: $5000+ Executive Level: $1000+ Director Level: $250 - $999

Expiration Date: ____________________ CVV: _______

Sponsor Level: $100 - $249 Donor Level: up to $99 Student Level: $10

Send To Fax: (217) 522-7349

IPhA Foundation 204 West Cook Street Springfield IL 62704-2526

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.

Thank you to the 2016

Donors

Foundation Board of Directors

Mickie Brunner, PharmD (Chairman)

Todd Evers, RPh, MS (President)

Brett Schott, CFRE (Treasurer)

Katie Calcaterra, PharmD (Member)

Mark Pilkington, RPh (Member)

J. Cody Sandusky, PharmD (Member)

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•

Gary Frisch, RPh, MBA (Secretary)

VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)

Tony Buddy, RPh (Member)


2016 FOUNDATION DONORS Executive Level ($1,000+)

Director Level ($250–$999)

Sponsor Level

Tony Budde Starlin Haydon-Greatting Randy Malan Dave Mikus Garth Reynolds Tom Rickey Cindy Russell J Cody Sandusky Richard Welch Harry Zollars

Eric Bandy Mickie Brunner Ben Calcaterra Gene Carlson Preteka Dhamrait Gerry Jablonski Laura Licari Dennis Mensinger David Newell Pat Potter Ellen Ritz Brett Schott

Om Dhinga Gary Frisch Tim Gleason Hank Gould Kimberly Griffith Jason Kasiar Pam Reynolds

($100–$249)

Donor Level (up to $99) Garrett Ande Steven Bandy Erin Beebe Jessie Bergman Scott Bergman Lina Bertuzis Harish Bhatt Carl Bode Wesley Breeze Phillip Burgess Thomas Cagney Fred Calcaterra Steven Clement Beaux Cole Byron Corzine Elaine Cue Valerie Currier Donald Doubek Janice Douglass Dawn Eberhardt Scott Edgar Thomas Felker Bahati Fernandez Meri File-Miller Robert Funk James Gable Christine Gozali

Dennis Graue Michelle Habbal Glenna Hagan Brad Harmon Clare Himmelblau Ann Hobel Carl Hudson David Hyrczyk Richard Izard Terry Johnson Donald Johnston Leola Jones Bassel Joudeh ChungJa Jung Ken Kensinger Thomas King Brant Kitto Janice Kleppe John Knapp James Kolar Renata Kusper Valerie Lawson Timothy Lawson Jennifer Lipert Stuart Lippitz Robert Listecki Mark Mandel

Rupesh Manek Thomas Marks Bernard Marx Dave Mcknight John McLachlan Meri Miller Shane Miller Ashley Moye John O’Dwyer Christine Osborne Henry Paetsch Richard Parker Roger Pfister Douglas Phillips Olga Popil-Bozio Nicholas Popovich John Quinnert Donald Quinones Alan Reed Barry Reichart Allison Reichart Eric Rigg Willaim Robinson Kenin Rynn Anthony Sartoris James Schafer Darrin Shasteen

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William Sielschott Bruce Stacy Patricia Steward Maria Tangonan Brian Tatro David Thompson Elizabeth Thrush Marty Thurman Darryl Tjaden Philip Torf Barbara Townley Terry Traster Roseann Van Duren Luke VanderBleek John Velk Marlin Weekley David Wegman Emily Wetherholt Richard Wilborn

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When: On-Demand, Online & On-Demand Where: Online, United States Contact: kimc@ipha.org

Illinois State Opioid Antagonist Training Program

Presented by: Kelly Gable, PharmD, BCPP, Chris Herndon, PharmD, BCPS, Jessica Kerr, PharmD, CDE, & Garth Reynolds, BSPharm, RPh

Please ignore the dates listed above. This program is on-demand and can be taken at any time. You will receive information on how to access webinar, immediately after registration.

Pharmacist Registration - $75 If you are a pharmacist working in a pharmacy organization or chain, you may wish to contact your district or regional manager to determine if your company has partnered with the Illinois Pharmacists Association to provide this education on a group contract. If you are interested in a group contract, please contact IPhA at 217-522-7300 or email Kim Condon at kimc@ipha.org.

The Illinois State Opioid Antagonist Training Program has been approved by the Illinois Department of Public Health, the Illinois Department of Financial and Professional Regulation, and the Illinois Department of H uman Services and meets the requirements set forth in PA 99-0480. Upon completion of this knowledge-based activity, the pharmacist will be able to:

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1)

Describe the opioid abuse and overdose epidemic on a state and national level.

2)

Review unique pharmacological properties of commonly prescribed opioids and heroin.

3)

Discuss the neurobiology of addiction and opioid use disorder.

4)

Understand risk factors, signs of an opioid overdose, and the role of opioid antagonist therapy.

5)

Describe the role of pharmacy personnel in opioid overdose management.

6)

Evaluate key elements of patient and caregiver education on opioid overdose management.

7)

Discuss standardized procedures, naloxone standing order sets, and clinical documentation. ILLINOIS PHARMACISTS ASSOCIATION

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ACPE accredited for 1.75 hour (0.175 CEUs) | ACPE Universal Activity Number: 0135-0000-16-002-H04-P

Initial release date: 03/11/2016 | Planned expiration date: 03/11/2019

Activity Type: Knowledge-based | Target Audience: Pharmacists in all practice settings

Course Instruction Design and Participant Requirements: This CPE activity will be knowledge-based learning activities to meet the needs of pharmacists. Immediately after registration, participants will receive a links to access a recorded video, examination, and evaluation. To be eligible to obtain a maximum of 1.75 contact hour (0.175 CEUs) the participant must watch the video, successfully pass the examination with a score of 70 percent or greater, and complete an evaluation. Refund Policy: Due to the nature of this unique program type, self-paced with immediate content access, this program is not eligible for refunds. We apologize for the inconvenience.

The Illinois Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy education. Technology note: The session will be provided in video / PDF formats. It is the responsibility of the participant to use compatible technology. Typically, these formats will download best using a Google Chrome or Firefox browser. The course materials will be emailed to you post-registration. Please be sure to provide an accurate email address. Continuing Pharmacy Education Requirements This activity is structured to meet knowledge-based educational needs and acquire factual knowledge. Information in knowledge-type activities is based on evidence as accepted in the literature by the health care professions. Continuing pharmacy education (CPE) credit will be earned based on participation in the activity. Participation is required before obtaining CPE credit. Participants must complete an activity evaluation and posttest (if applicable) with a passing score of 70 percent or greater. This activity is accredited through ACPE for pharmacist continuing pharmacy education credit. If all requirements are met, participants will receive continuing pharmacy education credit in the following manner. Partial credit will not be awarded. Please allow 60 days for processing. Pharmacists: CPE Monitor, a national, collaborative effort by ACPE and the National Association of Boards of Pharmacy (NABP) to provide an electronic system for pharmacists and technicians to track their completed CPE credits, went into effect on January 1, 2013. IPhA, as an ACPE-accredited provider, is required to report pharmacist CPE credit using this tracking system. Pharmacist participants must provide their NABP e-Profile Identification Number and date of birth (in MMDD format) when they register for a CPE activity or complete activity evaluations. It will be the responsibility of the pharmacist to provide the correct information (e-Profile Identification Number and Date of birth in MMDD Format). If this information is not provided, NABP and ACPE prohibit IPhA from issuing CPE Credit. Online access to their inventory of completed credits will allow pharmacists to easily monitor their compliance with CPE requirements and print statements of credit. Therefore, IPhA will not provide individual printed statements of credit to pharmacists. For additional information on CPE Monitor, including e-Profile set-up and its impact on pharmacists and pharmacy technicians, go to www.nabp.net.

ILLINOIS PHARMACISTS ASSOCIATION

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2017 PHARMACY LEGISLATIVE DAY Join hundreds of pharmacy professionals at the State Capitol on March 15, 2017! 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. SCHEDULE OF EVENTS: 11:00 am - 12:30 pm Check In Howlett Auditorium, Howlett Bldg 11:30 am - 12:15 pm Lunch Hall of Flags, Howlett Bldg 12:30 pm - 2:00 pm CPE Legislative Orientation Howlett Auditorium, Howlett Bldg 2:30 pm - 4:45 pm Capitol Activities - Including legislator visits Government issued ID is required 5:30 pm Bus Departure

Registration Deadline: February 28, 2017

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

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 02/28/17 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: ________________________________________ You MUST be pre-registered to attend 2017 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. Policy: Cancellation must be received days in advance of the event•for a full in 2016) advance in order to receive a refund of 50% of 20Cancellation ILLINOIS 7PHARMACISTS ASSOCIATION VOL. 79refund - NO. 2and (2nd48 /3rdhours /4th QTR 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 15th) will incur a cancellation penalty of $25.


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5. Proclaim Your Professionalism

REASONS TO JOIN

Adding your name to the ranks of your colleagues who currently are members declares your pride in the profession you have chosen. Support IPhA’s advocacy efforts as we work with policy makers to implement health care reform legislation and as we continue to advocate for legislation and regulations that positively impact the profession. Join us in efforts to promote the important role of pharmacists on the health care team.

IPhA

6. See It All

1. Strengthen Your Career IPhA members enjoy educational opportunities designed to increase knowledge and keep up with the latest information. Members also receive a discount on titles available in the IPhA Bookstore, as well as access to the Online Career Center.

IPhA is the only statewide pharmacy organization that represents all pharmacists in all practice settings – you can learn about all the opportunities available within pharmacy and gain insights from pharmacists representing a variety of practice settings.

2. Advance Patient Care

7. Reach Out to Your Community

The more you learn about drug and treatment updates through our publication, Illinois Pharmacists, as well as electronically through the EIE (E-Info Exchange), the better equipped you are to help your patients. IPhA is also a licensed partner to provide the following certificate programs:

IPhA recognizes an array of local and cultural organizations that provide an opportunity for you to network within your own community.

Delivering Medication Therapy Management Services

Pharmacy-Based Cardiovascular Disease Risk Management

Pharmacy-Based Immunization Delivery

The Pharmacist and Patient-Centered Diabetes Care

As well as the advanced pharmacy training program: Pharmacy-Based Travel Health Services

3. Network with Others in Your Field IPhA members are invited to join their colleagues at the IPhA Annual Meeting. Meet members with similar professional interests online through IPhA’s networking sites on Twitter,  Facebook, and www.ipha.org. Members are encouraged to join e-Communities and Special Interest Groups. Pharmacy professionals can also meet and engage with other professionals by attending Local Pharmacy Association Events.

8. Develop Your Leadership Skills Participate as an active leader in a variety of workshops, training series, and volunteer leadership positions that will develop your skills as you give back to your profession.

9. Receive Scholarships and Awards IPhA has a distinguished awards and scholarship program recognizing members for involvement in the Association, for leadership, academic success and grassroots advocacy. The IPhA Foundation supports members through awards and scholarship programs. In 2015, IPhA is adding two new awards: IPhA Educator of the Year and Generation-Rx, sponsored by Cardinal.

4. Advocate for Your Profession By joining IPhA, you are supporting the only organization the represents the unified voice of all pharmacists. During the past year, IPhA’s work on health care legislation and regulation increased policy makers’ awareness of the pharmacist’s role in combating the medication use crisis. IPhA continues to work to affect policy on your behalf. The Legislative Report keeps you up-to-date with current bills that IPhA is tracking that have potential to affect your practice!

10. Gain the Competitive Edge IPhA gives you exclusive access to unique experiences, career information, and resources designed to meet your needs and provide support as you advance in your career.

JOIN TODAY www.ipha.org


S

t. Louis College of Pharmacy and Nelson Mandela Metropolitan University in South Africa partner to carve a new path for pharmacy technicians across Southern Africa. Together, the institutions have just published “The Southern African Pharmacy Technician Training Manual.” It is the first manual designed specifically for English-speaking pharmacy technicians in the region.

Need for Materials “Previously, we had to use textbooks from Europe or North America that were not specific to the African context,” said ShirleyAnne Boschmans, Ph.D., co-author and head of the Department of Pharmacy at NMMU. “This manual focuses on technicians’ basic job responsibilities and is designed to be flexible.” Faculty and students from the College have travelled to NMMU and Southern Africa numerous times during their three-year partnership. Faculty from NMMU have visited St. Louis as well. That face-to-face interaction with educators and patients is invaluable according to Ken Schafermeyer, Ph.D., professor of pharmacy administration and director of international programs at the College.

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“Pharmacy technicians are an excellent resource in publicsector hospitals and primary care clinics, where they might be the only pharmacy personnel to manage medication distribution,.” Schafermeyer said.

Southern Africa. It’s the highest concentration of patients in the world. As a result, there is a dire need for pharmacy personnel to provide basic services like medication distribution.

Authors of the manual

The partnership with NMMU was funded through a grant from the American International Health Alliance. Funds come from the U.S. Department of Health and Human Services and the U.S. Centers for Disease Control and Prevention through the President’s Emergency Planning for AIDS Relief.

The manual features intensive instruction on medications to help patients with HIV/AIDS and tuberculosis. Other topics include pharmacy calculations, basic pharmacology, compounding and patient communication. The manual is accompanied by an instructor’s guide, co-authored by Stephanie Lukas, Pharm.D., M.P.H., assistant director of international programs at the College, that provides suggested exercises, assignments and discussion questions. “This book can be used as a learning tool for pharmacy technicians as part of a universitylevel course or as part of an onthe-job training program,” said Teri-Lynne Fogarty, M.Pharm., coauthor, lecturer and coordinator of the Pharmacy Technician program at NMMU. Estimates vary widely, but many believe there are more than 17 million patients living with HIV or AIDS in Eastern and

ILLINOIS PHARMACISTS ASSOCIATION

Twinning Partnership

The manual is published by Pharmacy Administration Consultants, LLC and based on a text written by Schafermeyer. Publication rights for adaptation of the U.S. text to the South African context were generously provided by Ascend Learning and Jones and Bartlett Learning of Burlington, Massachusetts. As a community service, the manual is available to students, educators and organizations at cost.

About St. Louis College of Pharmacy For more than 150 years, St. Louis College of Pharmacy has been committed to educating the best pharmacists in the United States.

VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


The region’s only independent college of pharmacy, St. Louis College of Pharmacy is the thirdoldest continuously operating and among the largest colleges of pharmacy in America. The student body includes nearly 1,400 students, 40 percent of which are minority or multicultural. The students come to the College from 32 states and 10 countries. The College admits students directly from high school and accepts transfer students and graduates from other colleges and universities in the sophomore and junior years of the undergraduate program and the first year of the professional program. Students earn a Doctor of Pharmacy (Pharm.D.) with an integrated Bachelor of Science degree in a seven-year curriculum. An education at the College opens up the world to graduates for a career

in a wide range of practice settings. Graduates have a 100 percent job placement rate. The campus is transforming to better fit the needs of students, faculty, and staff. In August 2015, a new six-story, 213,000-square-foot, state-of-theart academic and research building opened. Construction is underway for a seven-story student center, residence hall, and recreation facility scheduled for completion in early 2017. When not in class, students can participate in more than 60 organizations, fraternities, intramurals, and sports. The College competes in 12 NAIA Division I sports. College alumni practice throughout the nation and in 14 different countries, providing a strong network to assist students with their goals. Additional information is available at stlcop.edu.

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UIC Professor Given Service Award from Kappa Psi UIC College of Pharmacy Associate Dean of Professional Development Dr. Nicholas G. Popovich was honored for his years of service to the Kappa Psi Fraternity. During the Chi Chapter and Illinois Graduate Chapter’s Founder’s Day celebration Dr. Popovich was awarded the Preston W. Eldridge, Jr. Order of the Golden Mortar award for his 50 years of service to the Fraternity, and the profession of Pharmacy. Dr. Popovich is the first recipient of this prestigious award at the UIC College of Pharmacy.

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Teaching Safe Medication Use Extensive Public Health Campaign Planned (ST. LOUIS) — An estimated 1.6 billion prescription medication pills, more than 40 percent of all prescribed medication, sit unused in American homes. To help clear out cabinets and cupboards in the St. Louis area, St. Louis College of Pharmacy is launching a public health campaign to teach the importance of safe medication use and disposal. “This is the largest, most comprehensive community-based education effort on medication disposal I have ever been involved with,” said Amy Tiemeier, Pharm.D., BCPS, associate professor of pharmacy practice and director of community partnerships at St. Louis College of Pharmacy. “Unused medication should not be left sitting around the house. Medication can weaken over time, lose effectiveness and prevent you from reaching your health goals. It also could be the target for thieves.” The College will utilize a nearly $25,000 grant from the Cardinal Health Foundation to establish and implement three impactful programs.

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Educating Children and Families The College will sponsor a coloring and video contest centering on themes of safe medication use, storage and disposal in the Parkway and Rockwood School Districts. In each district, the top prize for the video contest will be $500. Coloring contest winners will also be awarded a cash prize.

In addition, Tiemeier and pharmacy students at the College will meet with interested parent, religious or community groups in the districts. “When we’re talking to parents, we’ll bring up issues surrounding the power of medicines and signs of potential abuse,” Tiemeier said. “My goal is to inspire dinner table conversations in homes across the region about these important issues.”

ILLINOIS PHARMACISTS ASSOCIATION

Meeting organizers can contact Tiemeier directly to schedule a presentation.

Safe Disposal Another critical component to the outreach includes reaching thousands of Schnucks pharmacy customers. Beginning in November, patients filling a prescription at one of 10 Schnucks pharmacies will also be handed information about the nearest secure medication disposal location. “Patients often keep unused opioid pain medication in their home,” Tiemeier explains. “These are especially dangerous because they could poison children or be stolen. Informing patients about convenient, environmentally responsible disposal options is a key part of the larger effort to combat abuse and misuse of medications in the community.”

Bringing Together Groups Partners in the effort also include the Alliance for Healthy Communities, Community Resources United to Stop Heroin (CRUSH), the Drug Enforcement

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Administration-St. Louis Division (DEA), Missouri Prescription Pill and Drug Disposal Program (MO P2D2), Rockwood DrugFree Coalition and the Saint Louis Science Center. “We’re excited to continue the College’s rich history of bringing together a wide variety organizations with the shared goal of improving health care,” Tiemeier said. “There is no way our efforts could be as extensive as they are without Cardinal Health Foundation’s generous support.” Since 2009, the Cardinal Health Foundation has invested more than $5 million in partnerships and grants across the country to raise

awareness and knowledge about the dangers of prescription medication misuse through the Generation Rx program. “On behalf of Cardinal Health, we are pleased to support the work at St. Louis College of Pharmacy,” said Betsy Walker, community relations director at Cardinal Health and Generation Rx program manager. The coloring and video contest, along with parent outreach meetings, will be held during the 2016–2017 school year.

About the Cardinal Health Foundation The Cardinal Health Foundation supports local, national and international programs that

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improve health care efficiency, effectiveness and excellence and the overall wellness of the communities where Cardinal Health’s (NYSE:CAH) nearly 37,000 employees live and work. The Cardinal Health Foundation also offers grants to encourage community service among its employees and works through international agencies to donate much-needed medical supplies and funding to those who need them in times of disaster; because Cardinal Health is #AllInForGood. To learn more, visit CardinalHealth. com/community and visit the Facebook page at Facebook.com/ CardinalHealthFoundation

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PHARMACY MARKETING GROUP, INC

&THE LAW

This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and the Illinois Pharmacists Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products and services to the pharmacy community.

The Learned Intermediary Doctrine By Don. R. McGuire Jr., R.Ph., J.D.

I

t is almost impossible to attend a pharmacy law conference and not have a discussion about the Learned Intermediary Doctrine. The Doctrine was first expressed in a lawsuit against a drug manufacturer in 1966. The Doctrine states that a drug manufacturer has no duty to warn a patient about the risks of a drug. The manufacturer’s duty is fulfilled by informing the prescriber (the “Learned Intermediary”) of the drugs risks and benefits. The prescriber then has the responsibility of choosing the appropriate therapy because the prescriber has knowledge of the patient’s medical condition. Through the years, the Learned Intermediary Doctrine was expanded to include pharmacists. This was done through court decisions, by statute, or other procedural means. Specifically, courts held that pharmacists had no duty to warn patients of the risks of a particular drug. The Learned Intermediary Doctrine put that responsibility on the physician. There was fear that the pharmacist would somehow interfere in the physician-patient relationship. Under the Doctrine, the pharmacist 26

discharged their duty by correctly filling the physician’s prescription for the patient.

profession is headed. We are trying to become more involved in patient care, not less.

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

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

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

ILLINOIS PHARMACISTS ASSOCIATION

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

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OBRA ’90 and its resulting regulations were implemented. Few discussions today talk about OBRA’s impact on the Learned Intermediary Doctrine, but I believe that it is underestimated. It is beyond the scope of this article to recite a detailed history of these decisions. Suffice it to say that relying on the Doctrine is a risky strategy because it is too difficult to predict the court’s outcome. The better option is for the pharmacists to use their training, experience, and

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

ADVERTISE HERE ¼ page, ½ page, & full page ads available. Reach up to 15,000 pharmacists. Also ASK US about advertising on our website and in our monthly newsletter. Call Erica Burris at 217-522-7300

“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.

Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION

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2016

Award Recipients

Joyce Fogleman, RPh

This recipient recently returned from a trip to four European countries with several employees who have worked for her more than 20 years, paying their way. She’s planning another trip for other workers. When she purchased the business in 1988, three people worked at the pharmacy. Today, there are 24. She continues to show dedication to her community through her actions.

BOWL OF HYGEIA

Joyce Fogleman was the recipient of the 2016 Bowl of Hygeia Award. This annual award recognizes recipients for their dedication in community service. This award is bestowed upon the most deserving candidate in each of the fifty states, the Joyce Folgleman District of Columbia, Puerto Rico, and the ten Canadian Provinces and is sponsored by the American Pharmacists Association Foundation and the National Alliance of State Pharmacy Associations.

Kristen Komaiko, PharmD

DISTINGUISHED YOUNG PHARMACIST Kristen Komaiko is the 2016 recipient of the Distinguished Young Pharmacist/Edmond P Barcus Award. This award recognizes and up-and-comer pharmacist. This award is sponsored by Kristen Komaiko Pharmacists Mutual. 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. Kristen is a 2007 graduate of St. Louis College of Pharmacy. As a student, she was a laboratory teaching assistant in the biology/anatomy department and served as President Ms. Fogleman has a long history of community of the Women’s Health Issues Group. After graduation, outreach. Recently, the Franklin County Bar Dr. Komaiko went in to practice and continued to Association presented her with the Liberty Bell advance her education by participating in all of APhA’s Award on Law Day, and she was inducted into West certificate programs to further her abilities to serve her Frankfort’s “Walk of Honor” by the Old King Coal patients. Also during this time, she participated in Committee, recognizing her community giving. various health fairs in Illinois and Missouri. During Several causes have benefited from her giving; this time she also increased her activity at IPhA by among them, the high school music program, the writing newsletter articles, attending and leading fire department, Habitat for Humanity, the Salvation groups during Legislative Day and volunteering at the Army, the city’s aquatic center, the West Frankfort Ministerial Alliance, the SIU Foundation, and her alma IPhA Conference to judge patient counseling, judge pain management counseling and participating in new mater, St. Louis College of Pharmacy. practitioner panels. Joyce owns J&S Professional Pharmacy Inc. in West Frankfort and has decreed in her will that a foundation After careful consideration, Dr. Komaiko made the decision in 2014 to seek out a PGY-1 Residency to is to be established to continue giving after she dies. 28

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advance her clinical and ambulatory care skills. At the same time, she became further involved with IPhA by becoming active in the New Practitioner Network, serving as chairperson since 2015. She has also served as co-chair of the IPhA Membership Committee in 2015 and is still active on the committee. Nationally, our honoree served as the Missouri Delegation Representative at APhA’s House of Delegates in 2014, presented a poster at the same meeting about her residency project and is a member of 3 special interest groups for Medication Management, Diabetes Management and Transitions of Care. This person’s passion to continue her education drives her so that she can better serve her patients, as evidenced by recent seminars she has taught at two assisted living facilities regarding life skills and prescription medication education topics, as well as continuing to assist with workplace wellness fairs.

Mike Minesinger, RPh

EXCELLENCE IN INNOVATION Mike Minesinger was the recipient of the 2016 Excellence in Innovation Award. This award is a national honor coordinated by Michael Minesinger the National Alliance of State Pharmacy Associates, and generously sponsored by Upsher-Smith Laboratories, Inc. to recognize and honor a qualified pharmacist who has demonstrated significant innovation in their respective practice, method or service directly or indirectly resulting in improved patient care and/or advancement of the profession of pharmacy. Mike has been a great champion for his patients at his two Alwan Pharmacy stores, one in Peoria and one in Morton. His focus is on helping his patients get the maximum benefit from their medication therapy. He has initiated several programs that have proven very helpful to the patients served by his stores. Such

programs include pain management protocol, diabetes care club and community pharmacy prescription network are just a few of the various programs Mike has implemented. It is without question, that this year’s recipeient of the Excellence in Innovation Award inspires us all to continue in improving patient care.

Sneha Srivastava, PharmD, BCACP, CDE

EDUCATOR OF THE YEAR Sneha Srivastava was the recipient of the 2016 Educator of the Year Award. This award is a prestigious honor bestowed upon the most Sneha Srivastava deserving Academic Pharmacists. Recipients of this award promote the growth of future leaders in pharmacy within both the classroom setting as well as through extracurricular activities. Dr. Srivastava graduated with her doctorate of Pharmacy degree from University of Illinois at Chicago. After graduation, she completed her residencies in both pharmacy practice and ambulatory care. Throughout her career, Dr. Srivastava has held an impressive number of leadership positions. She has served as the course coordinator and facilitator for various therapeutic classes at Chicago State University College of Pharmacy. In the last year, this recipient has grown tremendously in her ability as an educator. Her students have described her as one of the few who is invested in their growth, listens to their needs, and respects them as future practitioners. This deserving recipient has recently expanded her scope of education, and now presents nationally to community pharmacists, providing chronic disease management updates and encouraging pharmacists in the community to expand their scopes of practice. It is without question, that Dr. Srivastava inspires us all to be active members both in pharmacy and our communities.

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2016

Award Recipients

Scott Sexton, PharmD Candidate 2017

a role model for those in the profession of pharmacy. Celebrating his 40th year, Mr. Ceretto has served the people of Maryville, Illinois, and surrounding communities. Through the years he has expanded his practice to serve the needs of his customers, including compounding, pain management, hormone therapy and veterinary medicine. He remains active in local, state and national pharmacy organizations, including having served as IPhA President in 1995. In addition, he connects with his community in many local civic organizations, as well as sponsoring Maryville’s Annual Easter Egg Hunt since 1988. Mr. Ceretto has taken his career as a pharmacist and business owner and used his time, talents and passion to serve his patients and community on a broad scale.

IPHA FOUNDATION ALAN GRANAT MEMORIAL SCHOLARSHIP Scott Sexton was the recipient of the 2016 Alan Granat Memorial Scholarship Award. This award was established Scott Sexton as a memorial tribute to Alan Granat, who served as Executive Director of IPhA from 1979 until his death in 1989. The award is presented annually by the IPhA Foundation, recognizing commitment to pharmacy and community, as evidence by membership and participation in pharmacy organizations and community involvement.

Dan Blank

HONORARY PRESIDENT

Dan Blank was the recipient of the 2016 Honorary President Award. This award recognizes a lengthy and sustained commitment of service to the profession and to the Dan Blank, 2016 Association. Dan Blank graduated with an Associate degree in Applied Science. He later received a degree in Long-Term Care Professional and Life Underwriter Training Council Fellow from Waukesha County Technical College. Dan has now worked as a Field Representative for Pharmacy Mutual Insurance Company for over 35 years. He also participates in activities and coincides with the Illinois Pharmacist Association.

Mr. Scott Sexton is currently enrolled in Southern Illinois University Edwardsville pharmacy school, with an anticipated graduation in May of 2017. During his career, he has contributed his exceptional leadership skills to several professional organizations including IPhA as student director, Phi Lambda Sigma as chapter president, and several other duties with APhA and other organizations. His commitment to pharmacy encourages us to never be satisfied and to persistently strive for success.

Gary Ceretto, RPh

IPhA FOUNDATION LIFETIME SERVICE AWARD Mr. Gary Ceretto received the 2016 IPhA Foundation Lifetime Service Award, which honors a pharmacist who has, through example, integrity Gary Ceretto and longevity, served as

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ILLINOIS PHARMACISTS ASSOCIATION

Being a true friend, Dan Blank has always gone the extra mile for those around him. His love and compassion to serve others including the Illinois Pharmacists shows him to be an impeccable candidate for this award. His dedication and hard work has positively impacted the pharmacy profession and the patients of Illinois.

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


Chris Herndon, PharmD

Sarah Brockhouse, PharmD

PHARMACIST OF THE YEAR

Dr. Chris Herndon is the 2016 Pharmacist of the Year Recipient. The Pharmacist of the Year award was first presented in 1950 and goes to an Illinois pharmacist who Chris Herndon has made outstanding contributions to pharmacy practice, the profession, and to IPhA. Dr. Herndon graduated from St. Louis College of Pharmacy and has contributed many publications including books, guidelines, and other informational resources. He has given dozens of national presentations, and is very involved with teaching at several colleges. Among the awards he has received, he has been named “Professor of the Year” five times in his teaching career as well as receiving the “Outstanding Achievement Award” from the St. Louis College of Pharmacy Alumni Association. He is a Certified Pain Educator, and is the Residency Program Director of several programs. Currently, Dr. Herndon is a co-author and presenter of IPhA’s Illinois State Opioid Antagonist Training Program.

PHARMACIST COACH OF THE YEAR Dr. Sarah Brockhouse is the 2016 Pharmacist Coach of the Year recipient. Her work with the IPhA PSMP program has contributed to the success of her patients in the management of Sarah Brockhouse pre-diabetes, diabetes and cardiovascular conditions and achieving their overall health goals. Her dedication to her patients and her community is seen through her work to improve patient care in her positions at Sarah D. Culbertson Memorial Hospital and Moreland & Devitt Pharmacy, as well as the PSMP program. She continually collaborates with doctors, nurses, and other healthcare professionals to provide information and assistance on the use of medications for maximum therapeutic outcomes. Her positive communication skills benefit not only her patient’s understanding of how to manage their medical conditions, but also her ability to work collaboratively with other involved medical professions to ensure maximum patient health achievements. Dr. Brockhouse continues to enhance and develop her pharmacist-coaching skills by participating in certificate training programs, advanced-practice trainings and her commitment to quality assurance initiatives. In addition to her patients through PSMP and the hospital, Dr. Brockhouse reaches out to her community through health fairs focusing on cardiovascular disease management and diabetes care, as well as promoting immunizations in her community. With the training and support of the PSMP program, she has expanded her clinical scope in order to have a direct positive impact on the quality of life of her patients. Under her guidance, patients that may have started out skeptical and with very low health literacy have become empowered to be active participants in their healthcare and she has helped them to set and achieve their own healthcare goals.

ILLINOIS PHARMACISTS ASSOCIATION

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2016 CONFERENCE HIGHLIGHTS t n i a P Nite PAINT NIGHT 32

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


FRIDAY SESSIONS

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2016 CONFERENCE HIGHLIGHTS

TRIVIA NIGHT

2016 Trivia Night Winners

2016 Trivia Night Losers

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ILLINOIS PHARMACISTS ASSOCIATION

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


TRIVIA NIGHT

Thank you for coming to

Trivia Night!

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2016 CONFERENCE HIGHLIGHTS 36

SATURDAY SESSIONS

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


PRESIDENT’S BANQUET

IPhA Past Presidents

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2016 CONFERENCE HIGHLIGHTS 38

ILLINOIS PHARMACISTS ASSOCIATION

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


EXHIBITORS AmerisourceBergen APCI AstraZeneca Boehringer Ingelheim Pharmaceuticals Cardinal Health  hicago State University C College of Pharmacy CVS Health HD Smith IL Medicaid McKesson Pharmaceutical  edicare’s Limited Income M NET Program  ABP-National Association of N Boards of Pharmacy Novo Nordisk Octapharma Pharmacists Mutual Companies  resence Behavioral Health P Addiction Services Roosevelt University Rosalind Franklin University Sigma Tau Pharmaceuticals SIUE School of Pharmacy Smith Drug Company St Louis College of Pharmacy Teva Respiratory The ECCHIC Group University of IL-Chicago COP Walmart Pharmacy

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2016 CONFERENCE HIGHLIGHTS 40

Board of Directors

From left to right (top row): Marilyn Gaske, Pharmacy Student (University of Illinois at Chicago COP Student Director); Harry Zollars, Pharm D (Region 7 Director); Eric Bandy, RPh (Chairman of the Board); Ben Calcaterra, RPh (President); Dave Mikus, RPh (Treasurer); Merin Thomas, Pharmacy Student (St. Louis COP Student Director); Garry Moreland, RPh (Speaker of the House) 2nd Row: April Goocher, PharmD (Region 2 Director); Jessica Kerr, PharmD, CDE (President Elect); Emily Whetherholt, PharmD (Chain Practitioners Section Chair)

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


BOARD OF DIRECTORS

Laura Licari, PharmD (Vice President)

Beaux Cole, PharmD, FAARM, ABBAAHP (Secretary)

Michael Bogdan, PharmD (Region 1 Director)

Al Carter, PharmD (Region 3 Director)

Joseph Bogdan, Pharm D, J.D. (Region 4 Director)

Amir Masood, Pharm D (Region 5 Director)

Timothy Gleason, Pharm D (Region 6 Director)

Jason Kasiar (Region 8 Director)

Maxine Daniels (Technician Director)

Doug Higgins, RPh (Compounding Practitioners Section Chair)

Micah Howell, PharmD (Independent Practitioners Section Chair)

Johnson Abraham, PharmD, CGP (Long Term Care Practitioner Section Chair)

Daljit Mann, Pharmacy Student (Chicago State University COP Student Director)

Hamza Malik, Pharmacy Student (Roosevelt University COP Student Director)

Preeti Kalra, Pharmacy Student (Midwestern University Chicago COP Student Director)

Anastasiya Koshkina, Pharmacy Student (Rosalind Franklin University COP Student Director)

Sonja Bromann, Pharmacy Student (Southern Illinois University Edwardsville SOP Student Director)

Kyle Huttner, Pharmacy Student (University of Illinois at Chicago COP – Rockford Campus Student Director)

ILLINOIS PHARMACISTS ASSOCIATION

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2016 CONFERENCE HIGHLIGHTS

y d r a p

jeo

JEOPARDY 42

ILLINOIS PHARMACISTS ASSOCIATION

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


Thank you, Leon Linder 

for all your hard work in capturing our 2016 Conference!

ILLINOIS PHARMACISTS ASSOCIATION

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WWW.IPHA.ORG

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2016 CONFERENCE HIGHLIGHTS 44

CONFERENCE SPONSORS

Thank you to the following for their support: Corporate Partner: HD Smith

Conference Sponsors: Teva South Suburban Pharmacists Association North Suburban Pharmacists Association Illinois Pharmacists Association Foundation Pharmacists Mutual NSP APCI Center for Excellence

Additional Support Throughout the Year: APMS, Alliance for patient Medication Safety McKesson PACE Alliance Pharmacists Mutual Insurance Companies PMG, Pharmacy Marketing Group PTCB, Pharmacy Technician Certification Board

Conference Program Advertising: Octapharma Pharmacy Quality Commitment HD Smith United Pharmacy Staffing

Pharm Auction Donors: Ben & Katie Calcaterra Brookfield Zoo in Chicago Bruce Wood Cara Brock Chicago Cubs Chicago Wolves Cindy Mende Russell Dawn Ingram Derma care Erica Burris Garth Renolds Gary Ceretto Glenna Hagan Illinois State Redbirds John Velk Jumer’s Casino & Hotel in Rock Island Laura Licari

Leighton Legal Group MEPA Mickie Brunner Missouri Botanical Gardens Nerium Oak Terrace Resort & Spa Pam Reynolds Peoples National Bank Peoria Chiefs Roosevelt Unviersity Shedd Aquarium St Louis Cardinals St. Louis Art Museum Stella & Dot Todd Evers Tony & Donna Budde Up Comedy Club

ILLINOIS PHARMACISTS ASSOCIATION

Wall of Wine Donors: Gary Ceretto Jenna Kirkpatrick Glenna Hagan Todd Evers Dennis Bryan Linda Gehrt Gloria Mizer April Goocher Dave Mikus Douglas Higgins Preeteka Dhamrait Harry Zollars Brett Schott Eric Bandy Cindy Russell Starlin Haydon-Greatting

Student Sponsors:

Summa Cum Laude:

Julie Erschen Saylor Gary Frisch Glenna Hagan Patrick Potter

Eric Bandy Ben Calcaterra Starlin Haydon-Greatting Moira Maroney Cindy Russell Harry Zollars

Cum Laude: Robert Anselmo Gary Ceretto Linda Gehrt Donna Kay David Mikus Gloria Mizer Garry Moreland Pamela Reynolds

Magna Cum Laude: Anthony Budde Michael Minesinger J Cody Sandusky

VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)

Student Table Sponsors: Starlin Haydon-Greatting


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.

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Mail To IPPAC 204 West Cook Street Springfield, IL 62704-2526

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Expiration Date: _________________ CVV: _________ Signature: _____________________________________ Date: _________________________________________

Fax To (217) 522-7349 For More Information (217) 522-7300

PAC Contributors Garrett Andes Bob Anselmo Steven Bandy Robert Bean Erin Beebe Jessie Bergman Scott Bergman Harish Bhatt Luke Bleek Carl Bode Wesley Breeze Anthony Budde Phillip Burgess Timothy Cagney Fred Calcaterra Gene Carlson Gary Ceretto Steve Clement Byron Corzine Elaine Cue Valerie Currier Janice Douglass Scott Edgar

Julie Eggerman Thomas Felker Bahati Fernandez Janice Frueh James Gable Hank Gould Christine Gozali Dennis Graue Kimberly Griffith Michelle Habbal Brad Harmon Clare Himmelblau Ann Hobel Carl Hudson David Hyrczyk Richard Izard Donald Johnston Leola Jones Bassel Joudeh Chungja Jung Donna Kay Ken Kensinger Thomas King

John O’Dwyer Christine Osborne Henry Paetsch Steven Paradee Ramesh Patel Roger Pfister Douglas Phillips Olga Popil-Bozio Lorna Pryor John Quinnert Donald Quinones Alan Reed Barry Reichart Allison Reichert Garth Reynolds Pam Reynolds Eric Rigg Ellen Ritz William Robinson J. Cody Sandusky Anthony Sartoris James Schafer Jared Schnake

Brant Kitto Janice Kleppe John Knapp James Kolar Valerie Lawson Timothy Lawson Stephen Ledbetter Jennifer Lipert Stuart Lippitz Robert Listecki Neil Macklin Randy Malan Mark Mandel Rupesh Manek Connie Mangiardi Thomas Marks Bernard Marx David Mattingly John Maxwell Dave Mcknight John McLachlan Shane Miller Ashley Moye

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Andrew Schwierjohn Darrin Shasteen William Sielschott Fadi Sobh Bruce Stacy John Standa Patricia Steward Maurice Sullivan Maria Tangonan Brian Tatro David Thompson Darryl Tjaden Philip Torf Barbara Townley Terry Traster John Velk Anita Wear Marlin Weekley David Wegman Richard Wilborn

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ATTENTION CURRENT IPhA MEMBERS...

Register 1 of 2 new ways to renew your dues and make renewing easier! 1

2

Auto Membership Dues Renewal

Quarterly Membership Dues Renewal

Complete this form to authorize your automatic ANNUAL membership dues renewal!

Complete this form to authorize your automatic QUARTERLY membership dues renewal!

Name: _______________________________________

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Street: _______________________________________

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City: __________________ State: ____ Zip: _______

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Is this your: q Home

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q I authorize IPhA to charge my credit card for my membership dues automatically each year on or near the date of my dues renewal date until I notify the IPhA in writing to discontinue.

q I authorize IPhA to charge my credit card for my membership dues quarterly until I notify the IPhA in writing to discontinue.

Card number: __________________________________

(Visa, MasterCard, American Express or Discover)

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Please note there will be a $5.00 processing fee for making quarterly payments.

A receipt for your annual dues renewal payment(s) will be sent after payment is processed each year.

We value your membership and thank you for your continued support of the IPhA! 46

ILLINOIS PHARMACISTS ASSOCIATION

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VOL. 79 - NO. 2 (2nd/3rd/4th QTR 2016)


Dedicated to Our Members since 1909. phmic.com 800.247.5930

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

Illinois Pharmacist 2nd/3rd/4th Qtr 2016  

Quarterly publication of the Illinois Pharmacists Association (IPhA

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