Illinois Pharmacist Jan/Feb/Mar 2017 by Illinois Pharmacists Association

1ST Quarter 2017 â€¢ www.ipha.org

2017 Legislative D a

y Highlights Inside

IN THIS ISSUE COLUMNS 5 President’s Perspective 7 Executive Director’s Viewpoint 21 From the Editor 22 Smith Drug Company Names

New Vice President, Finance 23 What’s New With You? 23 Words From Our Wise 24 SIUE School of Pharmacy 28 Illinois Pharmacists: Improving People’s Health 30 Pharmacy Time Capsule 32 St. Louis College of Pharmacy 34 Rosalind Franklin University of Medicine and Science College of Pharmacy 36 Rx and the Law 38 Pharmacy Marketing Group, Inc. Financial Forum

FEATURED THIS ISSUE 12 2017 Legistative Day Highlights 27 2017 IPhA Foundation Leadership Award!

ADVERTISER’S INDEX 3 IPhA, MPA Joint Annual

Pharmacy Conference & Trade Show 6 Pharmacy Advocacy Fund 9 IPhA Online Career Center 11 PQC 20 PAAS 20 PTCB 25 PQC 26 HD Smith 35 Pharmacists Mutual 37 Smith Drug Company 40 PACE 43 Match Rx

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Back Cover Pharmacists Mutual Companies IPhA Executive Committee

IPhA Staff

Chairman of the Board Eric Bandy, RPh eric@bandys.biz

Executive Director Garth Reynolds, RPh greynolds@ipha.org

President Ben Calcaterra, RPh ky_bjc@yahoo.com

Accounting Manager Erica Burris ericab@ipha.org

Vice President Laura Licari, PharmD llicari@hotmail.com

Member Services Manager Kimberly Condon kimc@ipha.org

President Elect Jessica Kerr, PharmD, CDE jekerr@siue.edu

Administrative Assistant Sandra Dial sandrad@ipha.org

Treasurer David Mikus, RPh davetravel1@aol.com

Director of Clinical Programs Starlin Haydon-Greatting, RPh starlin@ipha.org

Secretary Beaux Cole beauxcole@me.com

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

Page 17

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 80, NUMBER 1 (1st Quarter, 2017): 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.

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

IPhA would like to send a WARM WELCOME to the following NEW MEMBERS that joined the Association in 2016: Academic Dues Members Keith Hecht Melissa Hogan Antoine Jenkins Alexander Kantorovich Ayesha Khan Janene Marshall Matthew Nelson Kate Petewicz Lalita Prasad-Reddy Paul Stranges

Associate Dues Members Scott Briggs Janis Licari McKay Whiting

Joint Dues Members Robert Mangram Allison Schrieve

New Practitioner Members Debbie Bradford Sara Brown Agostino Chirchirillo Sue Chung Alexandra Colorato Nicol Fornellk Daniel Gapa Gapa Maeve Hines Katie Moerke Lauren Owens Jaymin Patel Alicia Ross Joseph Ryan

Renee Stephenson Lauren Verner Ashley Voigt

Out of State Members Amy DeWein Dawn Eberhardt Kay-Anne Hiller Michelle Katyiyiannis Rebecca Klipstine Dawn Rochester Rick Rondinelli Maria Young

Regular Members Joan Azcarraga Cheryl Bunyan Ruth Avegail Capapas Courtney Carr Phil Cason Carmita Coleman Angela Considine Carl Conway Erik Cornett Maria Costa Amit Dhingra Nicole Duehlmeyer Dalavia Edmon Jay Elkareh Ericka Elmore Meta Jo Floyd Richard Gates Luwanna George Tomson George Rabi Ghimeray

David Henson Kimberly Hess Ann Johnson Pamela Jones Jenna Kirkpatrick Susan Kurilla Edward Lis Nicole Lombardo Darci Mandrell Danielle Moses Stacey Mowers Klodiana Myftari Minh Nguyen Tom O’Shea Nida Petronis Disney Rachel-Philip Rami Rahani Helen Sairany Linda Schuh Deanna Seiler Carrie Wiggins Richard Wilker Theresa Willis

Retired Members George Gryfakis

Technician Members Syeda Anjum Jennifer Contreras Judi Markwell Claudia Muldoon Neeta Patel Ashley Young

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

President’s Viewpoint

Membership:

Let Your Voice Be Heard IPhA President Ben Calcaterra

hank you for your membership. Membership in a professional association is very rewarding and can be both professionally and personally gratifying. With your membership we can accomplish great things. However, we need more. We need YOUR voice to make OUR voice stronger. As we march on Springfield to represent you and our profession we struggle to educate our legislators on such critical issues as pharmacist prescribing of contraception, the abilities and limitations of pharmacy technicians, pharmacy dispensing limits and Pharmacy Benefits Managers (PBM’s). We desperately need more pharmacists to strengthen our voice. • To explain why pharmacy limits will not only reduce access of prescriptions to patients in rural and urban areas, but also reduce the workload for pharmacists while increasing the numbers of pharmacists needed to staff a store and thereby reduce their wage significantly. • To educate about the abilities that a certified pharmacy technician has to increase efficiency and safety in a

pharmacy while also understanding the limitations they have to not operate as a pharmacist would. • To explain the benefits of providing better access to prescription contraception to women by allowing trained pharmacists to dispense without a prescription each time. • And to help distinguish between PBM’s and insurance companies while pointing out the mischievous ways they operate and take money at every opportunity. We need your help to stop the detrimental HB 2392 that will put pharmacy limits in place, including filling only 10 scripts per hour and requiring a pharmacy technician to be present at all times while a pharmacist is working. We need your help pushing PBM transparency language at the national level by urging your U.S. Congressmen to support H.R. 244 and its MAC transparency language.

We have a huge legislative agenda this year. And that agenda includes YOU, our membership. We may be the voice of the Illinois Pharmacist, but right now we need YOUR voice more than ever.

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

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

THANK YOU

to the following 1st Quarter 2017 donors Tony Budde Byron Berry

Gary Ceretto John Groesbeck

Jonathon Lehan Rodney Brent

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

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 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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.............................................................................................................................................. 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

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

Executive Director’s Viewpoint

Anatomy of a Bill — HB2392 On February 3, 2017, Representative Mary Flowers (D-Chicago) introduced HB2392 in part, as a response to a Chicago Tribune article titled, “Pharmacies Miss Half of Dangerous Drug Combinations” released in December of 2016.

e have discussed HB2392 in numerous member communications and it was a focus bill during Legislative Day. Provided below are a quick review of the various components of HB2392: • Requires that at least one registered pharmacy technician be on duty whenever the practice of pharmacy is conducted; • Requires that pharmacies fill no more than 10 prescriptions per hour; • Requires 10 pharmacy technician hours per 100 prescriptions filled; • Prohibits pharmacies from requiring pharmacists to participate in advertising or soliciting activities that may jeopardize patient health, safety, or welfare; • Requires a minimum of two 15-minute breaks and one 30-minute meal period in each workday on which the pharmacist works at least 7 hours; • Requires that pharmacies limit pharmacist to work no more than 8 hours per day; • Requires pharmacies to maintain a record of any errors in the receiving, filling, or dispensing of prescriptions; • Provides whistleblower protection for pharmacy employees if the pharmacy retaliates against the employee for certain reasons;

IPhA Executive Director Garth K. Reynolds, BSPharm, RPh

• Sets specific penalties if any of the above are violated. We are aware of the possible, precarious implications for HB2392 and the various viewpoints. As written, IPhA has opposed this legislation. I think it would be appropriate to review aspects of the timeline, various testimonies, and our standing now. On February 22, 2017, IPhA, along with other pharmacy stakeholders (ICHP and IRMA), attended a joint meeting of the House Health Care Accessibility and Health Care Licenses Committees and provided the following testimony: “Good Afternoon, Chairpersons Flowers and Soto and members of the committee: The Illinois Pharmacists Association thanks you for your interest in this vitally important issue concerning patient safety that was a focus by a recent Chicago Tribune investigation. Pharmacists are committed to our patients and their safety is a sacred vow and cornerstone of our relationship that we build together. The Chicago Tribune investigation results are concerning and inexcusable. But the evidence presented in the investigation should not be

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

Executive Director’s Viewpoint (continued) 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. The issues brought forward by the Tribune aim the spotlight on a single gear of a much larger machine that is healthcare and that there are additional concerns in varying parts of this machine that need to be addressed going forward. 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. Pharmacists are health care providers and professionals that should never be expected to deliver patient care in any format or time frame that does not engender or preserve patient safety and effective treatment as the standard of care for each and every patient. Recently, two bills were implemented that enhance pharmacy practice. •P A 99-0863, which requires the Department to be notified if a pharmacist or pharmacy technician is terminated concerning a patient safety issue. •P A 99-0473, which requires Certified Pharmacy Technicians to obtain continuing pharmacy education hours and this includes required education in pharmacy law and patient safety.

In addition, the Department of Financial and Professional Regulation has proposed new mandatory regulation that would require patient counseling on new prescriptions. This change from “offer to counsel” which is current state of practice. The proposed regulation would require counseling:

• New patient • New medication at beginning of treatment • Change of dosage | strength | administration | directions for use IPhA believes that the recently passed legislation needs time for further evaluation of the impact on pharmacy practice and the proposed regulation for patient counseling addresses the concerns brought forward by the Chicago Tribune. Pharmacists are considered the most accessible health care provider and other proposals being brought forth would erode that ability. IPhA thanks the committee again for this opportunity and looks forward to the discussion to advance pharmacy practice and patient care.” This testimony was an opportunity to further discuss the impact of this type of legislation on pharmacy practice and patient care to the House Committees. In addition, IPhA continued conversations with legislators and the Governor’s Office on the potential, dangerous impact of HB2392. On March 15th, prior to the start of Legislative Day, various organizations, including IPhA, had an intense discussion about HB2392. Representative Zalewski (D-Riverside) chaired the discussion. It was decided that the best approach for the proponents and opponents was to file legislation that would create a taskforce comprised by various pharmacy stakeholders, healthcare stakeholders, and representation of labor organizations. The taskforce would be charged to discuss the elements of HB2392, in addition, needed discussions on policy changes to advance pharmacy practice and patient care delivery. On March 24, 2017, Representative Zalewski filed HB3462 based on our discussion from March 15th. This year was our required renewal of the Pharmacy Practice Act. We would normally be seeking a ten-year renewal, but this legislation would extend the Pharmacy Practice Act to January 1, 2020. HB3462 is now our primary discussion and legislative vehicle for policy changes to advance the practice of pharmacy in Illinois.

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

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

ONLINE CAREER CENTER www.ipha.org ILLINOIS PHARMACISTS ASSOCIATION â€¢ WWW.IPHA.ORG

Executive Director’s Viewpoint (continued) City of Chicago Councilman, Ed Burke filed O2017-979, which mirrors the original elements of HB2392. IPhA and other pharmacy stakeholders were concerned with a municipal approach to regulating pharmacy practice, especially since it would be in direct violation of the Pharmacy Practice Act. On April 18, 2017, IPhA had the opportunity to provide testimony to the City of Chicago Finance Committee. IPhA (including IPhA President Ben Calcaterra), ICHP, IRMA, and IHA provided testimony during this hearing. IPhA’s testimony to the committee was as follows: “Good Morning, my name is Garth Reynolds, the Executive Director of the Illinois Pharmacists Association and a practicing pharmacist. Thank you, Chairman Burke and members of the Committee, for this opportunity. The Illinois Pharmacists Association thanks….” (Similar text to House Testimony) “…Also, the Governor has established a taskforce (of pharmacy and medical stakeholders) to specifically examine and provide recommendations related to the practice of pharmacy and the interaction with other health care providers (in response to the Chicago Tribune Investigation). In addition, a taskforce (of pharmacy and health care stakeholders) has been proposed via HB3462 to examine issues brought forward in HB2392 and 10

the upcoming required renewal of the Pharmacy Practice Act. The taskforce, as proposed, would convene over the next two years to address pharmacy workload concerns brought forward in HB2392 and similarly to what is being addressed in O2017-979. The Illinois Pharmacists Association is significantly concerned with the approach and recommendations set forth in both HB2392 and O2017979. According to the Kaiser Family Foundation, Illinois community pharmacies dispensed 154 million prescriptions in 2016 and that each Illinois household has 12 prescriptions. Illinois has about 3,700 pharmacies licensed in the state of that number 2,622 are community pharmacies. If we assume that all 2,622 of the pharmacies are open 12 hours a day, 7 days a week, 365 days a year. Illinois pharmacies would only be able to dispense 114 million prescriptions, a health care shortfall of 40 million prescriptions. Illinois would need about 1,050 new pharmacies to be able to meet the medication needs of the people of Illinois. These proposals and even the recent legislative and regulatory initiatives due not address the primary source of the problem impact the operation of pharmacy practices. And that is improper and undercutting reimbursement of medications and lack of proper remuneration for pharmacist-delivered patient care services by the pharmacy benefit manager and health insurance industry.

The Illinois Pharmacists Association welcome an open and in-depth examination of the impact on patient safety and pharmacy operations that improper reimbursement has caused. Pharmacists along with other health care providers are expected to provide medications and health care services below our acquisition costs. It is unreasonable for any business to be able to maintain safety and effective delivery of care if the services provided to not cover the basic costs. This reality and abuse that has been forced upon health care providers is shameful and erodes the ability to provide needed care in our communities. Pharmacies, along with any other business, should be reimbursed for the products and services provided just as with any other industry. Pharmacy Deserts have been expanded all throughout Illinois. The health policy journal – Health Affairs in November 2014 – in the article ‘Pharmacy Deserts’ are Prevalent in Chicago’s Predominantly Minority Communities, Raising Medication Access Concerns. The authors concluded ‘Radical and ethnic disparities in geographic access to pharmacies have not been adequately recognized or addressed as a public health issue by public health and policy leaders. Ensuring access to pharmacies – and consequently to prescription medications — has important implications for population health and health disparities, given the critical role of prescription

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

medications in the prevention and treatment of chronic conditions.’ The proposed legislation and ordinance would significantly expand and exacerbate this issue to a public health care crisis. According to the US Department of Health and Human Services, 79 of our 102 counties are considered to medically underserved (in addition to just pharmacy services). Illinois needs to be focusing on expanding the role of pharmacists not rescinding and restricting our abilities to uphold our Oaths and serve our patients. The Illinois Pharmacists Association believes that moving forward with HB2392 on a state level and similarly with O2017-979

here on a municipal level are illtimed and suggest that the recently passed legislation needs time for further evaluation of the impact on pharmacy practice and the proposed regulation for patient counseling addresses the concerns brought forward by the Chicago Tribune. Pharmacists are health care providers, a member of the patientcentered team managing their medications to optimize treatment plans and providing pharmacistdelivered patient care services. Pharmacists are considered the most accessible health care provider and these proposals being brought forth would erode that ability.

opportunity and looks forward to the discussion to advance pharmacy practice and patient care.” As of the writing of this article, IPhA is continuing to monitor and have discussions concerning HB3462 and O2017-979 as we move forward with the legislative year. I thought this bill would be a unique example to dissect and provide more detail on the inner workings of our position, and the components of a bill passing through the legislative process. IPhA will continue to provide additional updates as we move forward throughout the year.

The Illinois Pharmacists Association thanks the committee again for this

“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

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

2017

Legislative

ILLINOIS PHARMACISTS ASSOCIATION â€¢ VOL. 80 - NO. 1 (1rd QTR 2017)

ve Day Highlights

ILLINOIS PHARMACISTS ASSOCIATION â€¢ WWW.IPHA.ORG

2017

Legislative

ILLINOIS PHARMACISTS ASSOCIATION â€¢ VOL. 80 - NO. 1 (1rd QTR 2017)

ve Day Highlights

(left to right) Scott Meyers (ICHP Exec. VP), Governor Bruce Rauner and Garth Reynolds (IPhA Exec. Director),

ILLINOIS PHARMACISTS ASSOCIATION â€¢ WWW.IPHA.ORG

2017

Legislative

ILLINOIS PHARMACISTS ASSOCIATION â€¢ VOL. 80 - NO. 1 (1rd QTR 2017)

ve Day Highlights

ILLINOIS PHARMACISTS ASSOCIATION â€¢ WWW.IPHA.ORG

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 T his 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:

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

Review unique pharmacological properties of commonly prescribed opioids and heroin.

Discuss the neurobiology of addiction and opioid use disorder.

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

Describe the role of pharmacy personnel in opioid overdose management.

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

Discuss standardized procedures, naloxone standing order sets, and clinical documentation. ILLINOIS PHARMACISTS ASSOCIATION â€˘ VOL. 80 - NO. 1 (1rd QTR 2017)

•

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 • WWW.IPHA.ORG

ILLINOIS PHARMACISTS ASSOCIATION â€¢ VOL. 80 - NO. 1 (1rd QTR 2017)

From The Editor

UNITED IPhA Editor

We Stand….

Jeffery Ellis, RPh

here I work, summer brings thunderstorms which brings power failures. We had one last week and it does remind you how dependent upon electricity pharmacy and society has become. It is rather frightening. Not the darkness, the dependency. When the lights go off and remain off for more than 20 minutes, you know you are in trouble. Since I practice in a small town, we usually get it back quickly. It must have been a big problem. But everything comes to a crashing halt with no electricity. We are no longer able to do this job, or most any job anymore without power. We had to walk the customers (I should say the help from the front end had to walk) to the item, write down the ndc number and price, and calculate the tax to ring it up later. I would be astonished if we did it right, but they did their best. The profession has changed a lot from when I started this game. I used to type the labels individually. Patient profiles were being developed and boy was it complicated. No computers. Refills were put in the old bottle and the number of refills were changed on the same bottle! I can’t imagine doing that anymore.

Universal claim forms (AWP plus $5!), no generics to speak of (Lanoxin was very common), and most prescriptions were paid for in cash. Insurance was for Doctors. PCS was owned by pharmacists! (or was it PAID?). Power failures didn’t affect us quite as much. We certainly have gone through changes. Some good, some bad. I do possibly see a great future for us, a professional future if we can do it. We have to work together and stick together. Associations are more important than ever even if most of us don’t realize it. National Healthcare programs seem to change with each election. What is best for pharmacy and pharmacists? Individually we can’t keep up or have any impact. Only if we keep together and have spokespeople for us can we be heard.

As Abe Lincoln and others have said; United we stand, divided we fall. We must stand! For ourselves, for our patients.

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

Jeff Ellis R.Ph.

Smith Drug Company Names New Vice President, Finance Lena Jouran to lead finance team SPARTANBURG, S.C.— Smith Drug Company (SDC) has announced that Lena Jouran has joined the company as Divisional Vice President, Finance. She will support both Smith Drug Company and Burlington Drug Company in her new role. Jouran replaces Kyle Waltz, who has accepted the position of Vice President Corporate Controller at the J M Smith Corporation. “Lena brings with her an extensive background in managing the finance complexities of the pharmacy supply chain,” said Jeff Foreman, RPh, President, Smith Drug Company. “We are excited to have her join the team and expect she will be a tremendous asset to our organization.” Jouran comes to Smith Drug Company from Walgreens, where she was the Finance Director, Pharmacy Procurement, Supply Chain and Rx Insights. In that role, she led a team responsible for supporting two business units with more than $40B in annual purchases and $4B of inventory under management. She collaborated closely with the Walgreens Global Procurement Organization to maximize vendor negotiations. “I’m excited about the opportunity to come to Smith Drug Company,” said Jouran. “The leadership team is implementing strategies designed 22

About Smith Drug Company

to help them, and their customers, achieve great things. I am looking forward to applying my industry knowledge and experience to the challenges of this competitive industry.”

“I’m excited about the opportunity to come to Smith Drug Company,” “Lena’s knowledge of the pharmacy industry, especially the procurement and supply chains, is impressive,” said Foreman. “I am confident everyone on our team, including suppliers and customers, will appreciate working with her.” A graduate of DePaul University in Chicago with a BS in Finance, Jouran has held leadership positions with PepsiAmericas, Inc. and ConAgra Foods prior to joining Walgreens. She is looking forward to moving to Spartanburg and joining the Smith Drug Company team.

Smith Drug Company (www. smithdrug.com) is the original division of J M Smith Corporation, and one of America’s premier wholesale drug distributors. Launched in 1944, the division serves pharmacies in 23 states, the District of Columbia and the US Virgin Islands through distribution centers in Spartanburg; Paragould, AR; and Valdosta, GA. Burlington Drug Company has been operating in the Burlington, Vermont area for 125 years, serving independent community pharmacies and long-term care facilities across New England, New York and Pennsylvania with a full array of products and services designed to help community pharmacies better their patients.

South Carolina’s third-largest privately owned company, the J M Smith Corporation is headquartered in Spartanburg and operates through multiple business units: Smith Drug Company, QS/1, Integral Solutions Group, RxMedic Systems, Inc., Integra LTC Solutions, LLC and Burlington Drug Company.

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

New

What’s With YOU?” The 2017 2nd Quarter Edition of Illinois Pharmacist will begin a new “What’s New With You” section of our publication. In “What’s New With You”, we intend to highlight exciting life events that are happening with our members. This could include: Marriages, New Births, Anniversaries, Award Winners, New Job Positions, Sympathies, or anything related.

Please submit any exiting news you would like to share with the Association to Sandra Dial at sandrad@ipha.org. We would love to include a photo with your announcement!

COMING SOON!

Words From

Our Wise …

We have an endless supply of knowledge within our Association and we need to hear from YOU!

We are looking for a few of our most cherished members, who have so much to give and to learn from, who are willing to take the time to write an article once or twice a year to be published in our Journal each quarter. Our hope is that we have more than one willing to write and therefore burden on none. We need to hear from you, learn from your experiences. Articles need be of topics related to the world of Pharmacy. Be it, business, customer service advise, lessons learned. • What was your toughest lesson in business? • How did you deal with demanding customers, customer service, financial planning, or financial budgeting? • Differences between then and now. How is pharmacy changed since you first began? • What do you feel pharmacy needs today? • What do you wish someone would have told you sooner? These are just a few ideas, you have many stories and experiences to flood our page.

We look forward to hearing from you! Please submit your article to Sandra @ sandrad@ipha.org or you may call her at the office 217-522-7300 if you have questions.

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

he last two months at the Southern Illinois at-risk behaviors of students in crisis, improve campus University Edwardsville School of Pharmacy policies and procedures for assisting these students, and (SIUE SOP) have been very busy. Our faculty have reduce negative stigmas of counseling and help-seeking. excelled in scholarship and learning. Faculty members Min Liu and Lakesha Butler co-authored the textbook Other faculty accolades include Lakesha Butler, “Patient Communication for Pharmacy: A Case-Study PharmD, clinical associate professor in the Approach on Theory and Practice.” The book was Department of Pharmacy Practice, and her husband officially published Friday, Dec.18, 2015 by Jones and being featured by St. Louis radio station Old School Bartlett Learning (www.jblearning.com). Dr. Mark 95.5 FM as people who are “Making Black History in Ruscin received a two-year grant valued St. Louis.” Also, Terri Poirier, PharmD, has at $329,862 for “Community-based been appointed to the Oncology Specialty VTE Care Transitions Coordinated Council for 2016-2018 by the Board of through a Senior Services Organization.” Pharmacy Specialties (BPS). The grant is a collaboration between Pfizer Independent Grants for The SIUE SOP is pleased to be Learning & Change (IGLC) and introducing a master’s program in Bristol-Meyers Squibb Independent pharmaceutical sciences to begin fall Michael Johnson received in Medical Education, who are providing commission from Sgt. Kevin 2016. The SOP is the only school in Illinois all project funding, and The Joint Alvarado of the U.S. Air Force and the metro St. Louis area to offer this Commission, who will provide degree. Students of the new program may on December 16, 2015. administrative oversight for the choose a concentration in the areas of program. The SIUE School of Pharmacy and Senior medicinal chemistry, pharmacology and pharmaceutics. Services Plus, based in Alton, will work closely to Through this new offering, students will have the tools improve the safety and effectiveness of medication use necessary to pursue careers in pharmaceutical sciences during care transitions from hospital to home for older research engaging in the discovery and development adults treated for venous thromboembolism (VTE). of new drugs, or to pursue PhDs in health sciences, The SIU School of Medicine’s Center for Clinical medical and drug discovery research. Additionally, Research is also a collaborator on the project. students will be prepared for other non-research, but science- and technology-related positions relevant to the December is a difficult month for mental illness as pharmaceutical industry. individuals may struggle with depression and family strife during the holiday season, while college students We are proud of SIUE SOP student Michael Johnson, across the country attempt to manage the stress and of Pittsfield, who raised his right hand and took anxiety of fall semester final exams. Dr. Kelly Gable of the U.S. Air Force’s oath of office in December the SIUE SOP is committed to empowering students 2015, affirming his official appointment as a second with steadfast safety and support. In collaboration lieutenant. Johnson is one of 10 pharmacy students with the School of Nursing and SIUE Counseling nationwide to receive a coveted Health Professions Services’ she received a Campus Suicide Prevention Scholarship from the U.S. Air Force this year. Upon his Grant through the Substance Abuse and Mental graduation from SIUE in May and completion of his Health Services Administration (SAMHSA) valued boards, Johnson will undergo Commissioned Officer at $299,442. The SIUE iCARE suicide prevention Training (COT) and will be an active duty officer, initiative is an aggressive, multi-tiered approach to working as a clinical pharmacist with the Air Force. increase awareness and education on recognition of

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

A continuous quality improvement program can be a lifesaver! MA K E YO U R PAT I EN TS A N D YOU R PH A R MACY SA F ER .

FOR LESS THAN A DOLLAR A DAY ... • • • •

Increase patient safety – learn from collected safety data and online resources Maintain compliance – meet accreditation, credentialing, PBM and state QA requirements Reduce costs – increase operations efficiency, reduce potential risk and cut down on “re-do” Rxs Safeguard your data – Patient Safety Organizations offer confidentiality and legal protection

Learn more at www.medicationsafety.org or call us at (866) 365-7472. • PHARMACISTS ASSOCIATION The Alliance ILLINOIS of Medication Safety (APMS) isWWW.IPHA.ORG a federally listed Patient Safety Organization (PSO).

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Helping You Care For Your Community

ILLINOIS PHARMACISTS ASSOCIATION â€¢ VOL. 80 - NO. 1 (1rd QTR 2017)

Congratulations to the following recipients of the 2017

IPhA Foundation Leadership Award!

From L-R: Garth Reynolds, IPhA Executive Director, Mickie Brunner, IPhA Foundation Board President, Kristen Apolinarios, Dean of Pharmacy Midwestern Universty, Nancy Fjortoft, Midwestern University

Thank you to the following 1st Quarter 2017 Foundation Donors Gary Bandy

Bill Jerrels

Eric Bandy

Donald Johnston

Thomas Beverly

Chungja Jung

Rodney Brent

Jay Kim

Mickie Brunner

Brant Kitto

Tony Budde

Janice Kleppe

Fred Calcaterra

Valerie Lawson

Beaux Cole

Timothy Lawson

Gary Frisch

Jonathon Lehan

Paul Giannetto

Laura Licari

William Zachary Parker John Quinnert Garth Reynolds Tom Rickey Cindy Russell Bernard Scavella Judith Sommers Hanson Bruce Stout Terry Traster

Kristel Apolinario Midwestern University College of Pharmacy

Kelsey Elmore SIUE College of Pharmacy

Timothy Gleason

Randy Malan

John Groesbeck

Cindy Mende-Russell

Michelle Habbal

John Metzger

Joseph Dang UIC College of Pharmacy

Nancy Koo Chicago State University College of Pharmacy

Starlin HaydonGreatting

Garry Moreland

Emily Wetherholt Jill Woodward Harry Zollars

Name/Address 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. 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: $ __________ (Used to determine donor level) Presidential Level: $5000+ Executive Level: $1000+ Director Level:â€Ż$250 - $999

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.

First: _______________ MI: ___ Last: ______________________ Is this your: q Home q Business/Organization Bus/Org: ______________________________________________ Street: ________________________________________________ City: _____________________ State: ____ Zip: ____________ H-Phone: _______________ B-Phone: ______________________ Email: ________________________________________________ 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: _____________________________________________ Expiration Date: ____________________ CVV: _______________ Send To IPhA Foundation 204 West Cook Street Springfield IL 62704-2526

Fax: (217) 522-7349

ILLINOIS PHARMACISTS ASSOCIATION â€¢ VOL. 80 - NO. 1 (1rd QTR 2017)

ILLINOIS PHARMACISTS ASSOCIATION â€¢ WWW.IPHA.ORG

Time Capsule

PHARMACY

Dennis B. Worthen, PhD, Cincinnati, OH

Pharmacy Time Capsules are written by Dennis Worthen who makes them available for state pharmacy associations to share with their members. Appropriate attribution is at the bottom. If you are publishing, please leave us a comment below.

1992

• The American Association of Colleges of Pharmacy (AACP) passed a resolution supporting a single entry level professional degree. • Psychiatric pharmacy recognized as a specialty by the Board of Pharmacy Specialties (BPS).

1967

• Donald Brodie articulated the concept of drug use control which would become the central precept of clinical pharmacy and later pharmaceutical care.

1892

• Original passage of Utah Pharmacy Practice Act • University of Minnesota College of Pharmacy founded by Dean Wulling

1942

• American Foundation for Pharmaceutical Education incorporated in 1942 to provide financial support to colleges of pharmacy in need during World War II and later finance the Elliott Report.

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

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

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

Card Number: __________________________________

Fax To (217) 522-7349

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

For More Information (217) 522-7300

Thank you to the following 1st Quarter 2017 PAC Contributors Gary Bandy

Jason Kasiar

Ramesh Patel

Thomas Beverly

Jay Kim

Garth Reynolds

Fred Calcaterra

Brant Kitto

Bernard Scavella

Beaux Cole

Janice Kleppe

Judith Sommers Hanson

Julie Eggerman

Valerie Lawson

Bruce Stout

Cynthia Gelsthorpe

Timothy Lawson

Terry Traster

Paul Giannetto

Gordon Mazzotti

John Velk

Michelle Habbal

John Metzger

Kevin Winston

Bill Jerrels

Mike Minesinger

Jill Woodward

Donald Johnston

Gary Moreland

Chungja Jung

William Zachary Parker

ILLINOIS PHARMACISTS ASSOCIATION â€˘ WWW.IPHA.ORG

Teaching Safe Medication Use Extensive Public Health Campaign Planned Brad Brown, Director, Public Relations

(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 communitybased education effort on medication disposal I have ever been involved with “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 32

Health Foundation to establish and implement three impactful programs.

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.” 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 Administration-St. Louis Division (DEA), Missouri Prescription Pill and Drug Disposal Program (MO P2D2), Rockwood Drug-Free 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

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

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 St. Louis College of Pharmacy

For more than 150 years, St. Louis College of Pharmacy has been committed to educating world-

class pharmacists. The region’s only independent college of pharmacy, St. Louis College of Pharmacy is the third-oldest 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-squarefoot, state-of-the-art 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.

About the Cardinal Health Foundation

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

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

Rosalind Franklin Students Win the ASHP Clinical Skills Competition!

osalind Franklin University of Medicine and Science students William Alegria and Haley Spaulding won the 2015 American Society of Health-System Pharmacists (ASHP) Clinical Skills Competition (CSC)! Will and Haley, both Class of 2016, were one of 129 student teams that competed in the annual competition, which involves the assessment, presentation, and discussion of a complex patient case. The competition was held at ASHP’s annual meeting in December in New Orleans. Pharmacy schools and colleges can put forth one student team per year, and the team was selected to represent RFU at the national level after winning the College of Pharmacy’s local CSC in fall, 2015.

Haley Spaulding and William Alegria accept their first-place award from ASHP President John Armitstead and ASHP Foundation Vice President Barbara Nussbaum.

The CSC victory is a crowning achievement for the AlegriaSpaulding duo after years of personal academic excellence and co-curricular successes. Will was named a Franklin Fellow at RFU, which involved the creation and implementation of an interprofessional service project in Lake County. Haley was named

an AACP Walmart Scholar. Other highlights include their shared contributions to RFU’s studentrun Interprofessional Community Clinic, where students from the University’s colleges of pharmacy, podiatry, medicine and other health professions provide care, free of charge, to Lake County’s uninsured. RFU’s commitment to interprofessional education and team-based care make the team’s victory all the more sweet. “This success reflects their excellent work as students in the College,” said Marc S. Abel, PhD, Dean of the College of Pharmacy. “It is also a testament to the program and the quality faculty and staff in the college, who dedicate themselves every day to the education and training of outstanding pharmacists.”

www.facebook.com/ILPharmacists ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

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ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

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.

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 discharged their duty by correctly filling the physician’s prescription for the patient. 36

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?

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

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

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

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.

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

which the court creates another exception. Many of the cases were decided before 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.

© Don R. McGuire Jr., R.Ph., J.D., is General Counsel, Senior Vice President, Risk Management & Compliance at Pharmacists Mutual Insurance Company. This article discusses general principles of law and risk management. It is not intended as legal advice. Pharmacists should consult their own attorneys and insurance companies for specific advice. Pharmacists should be familiar with policies and procedures of their employers and insurance companies, and act accordingly. 1Sterling Drug, Inc. v. Cornish, 370 F.2d 82 (8th Cir., 1966) 2Morgan v. Wal-Mart Stores, Inc., 30 S.W. 3d 455 (Tex. App.-Austin, Aug. 10, 2000) 3Omnibus Budget Reconciliation Act of 1990, Pub. L. No. 101-508, 104 Stat. 1388.

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ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

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FINANCIAL FORUM PHARMACY MARKETING GROUP, INC

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

Are Gen Xers Planning for Retirement the Right Way?

Some are planning wisely, but others are beset by mistakes

eneration X has become the new “sandwich” generation. Many Americans born during the years 1965–80 are finding themselves caring for aging parents and growing kids at once, with little time to devote to their personal finances or their retirement planning. Broadly speaking, that time shortage has hindered their retirement saving and planning efforts. Some members of Gen X are on track to reach their retirement money goals; others are making mistakes that may greatly undermine their progress. What kind of mistakes, specifically?

Procrastination.

In a recent survey of 36- to 49-year-olds commissioned by the Transamerica Center for Retirearetirement age.1 If you are in your thirties or forties, this is a mistake you cannot afford to make. When it comes to retirement

saving, time is your friend — perhaps the best friend you have — and the earlier you start, the more years of compounding your invested assets can receive. That is not to say all hope is lost if you

start saving and investing at forty, however. You just have to save considerably more per month or year to catch up. A very simple compounding example bears this out. Let us take a 25-year-old, a 35-year-old, and a 45-year-old.

From this day forward, each will contribute $1,000 a month for a 10-year period to a retirement account yielding 7% annually. At the end of those ten years, they will stop contributing to those accounts and merely watch that money grow until they turns 65 (not recommended, but again this is a simple example). Under these conditions, the person who saved for just ten years starting at age 25 has $1,444,969 at 65. The person who saved for ten years starting at 35 has but $734,549, the person who saved for ten years starting at 45 only $373,407.2 Raiding the retirement fund. Think of your retirement fund as your financial future, or at least a large part of it. Many instances may tempt you to draw it down: your children’s education expenses, student loan debt, eldercare costs. Refrain if

1 forbes.com/sites/nextavenue/2014/08/28/7-retirement-mistakes-gen-x-is-making/print/ [8/28/14] 2 moneyunder30.com/power-of-compound-interest [2/27/15] 3 shrm.org/hrdisciplines/benefits/articles/pages/2016-irs-401k-contribution-limits.aspx [10/22/15]

ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

at all possible. Work on creating an emergency fund so you can avoid this (if you already have one, great). Every loan you take from a workplace retirement account leaves you with fewer invested dollars, fewer dollars that may grow and compound faster than inflation via the equities markets. Your forties, in particular, represent a prime time to ramp up your saving effort as your salary and/or compensation presumably increase.

Undervaluing catch-up contributions.

Beginning in the calendar year you turn 50, you are permitted to contribute an extra $1,000 to your IRA per year, and an extra $6,000 per year to a typical 401(k), 403(b) or 457 plan. An extra $1,000$6,000 per year may not sound like much, but if you have both an IRA and a workplace retirement plan, this gives you a chance to save an additional $50,000-$100,000 (or

more) for retirement between now and when you presumably wrap up your career. Those dollars can benefit from compounding as well. Even the opportunity to direct an additional $1,000 into an IRA each year should not be dismissed. Sadly, some savers will enter their fifties not knowing about catch-up contributions or not valuing them enough — but you will consistently make them, right?3

Not planning with the “end” in mind.

Many Gen Xers are saving for retirement without defined financial objectives. They do not yet know how large their nest egg needs to be in order to generate worthwhile retirement income. They have not really thought about what they want their money to accomplish. Even using a free online retirement calculator (there are some really good ones) might yield some food for thought.

Foregoing consultations with financial professionals. One of the demerits of DIY investing is the learning curve. Investing for retirement without any help is akin to trying to find a street address without help from a map: you might get close, you might get there, but most of the time you may not know how close or far away you are from your goal. A meeting with a financial professional can lead to an overview of where you stand, and give you a firm idea of what you need to do as you pursue your retirement goals further.

The good news? Gen Xers are making a solid effort to save.

In the aforementioned Transamerica survey, 83% of Gen X respondents said they were building up a retirement fund, and 20% of them had amassed more than $250,000 in retirement savings prior to age 50.1

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

ILLINOIS PHARMACISTS ASSOCIATION • WWW.IPHA.ORG

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ILLINOIS PHARMACISTS ASSOCIATION • VOL. 80 - NO. 1 (1rd QTR 2017)

10 TOP

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

ATTENTION CURRENT IPhA MEMBERS...

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Dedicated to Our Members since 1909. phmic.com 800.247.5930

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Illinois Pharmacist Jan/Feb/Mar 2017

Published on Jul 19, 2017

Illinois Pharmacist is the quarterly publication of the Illinois Pharmacists Association (IPhA).

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