18
4 CEO Corner
How NASPA enhances your membership investment.
20 MSCP President
6 Events Calendar
Upcoming MPA and national events.
Overcoming obstacles in community pharmacy and how to best utilize your time. 34 Local Association Officers
See who is representing your local association in 2025.
8 Student Focus
Incorporating pharmacists into the fight against HIV.
BY RYAN GREENLEY, Pharm.D., MPA president
As we look to the future strength of MPA, one thing is clear: our strength comes from the active participation and influence of every member. Each individual brings a unique perspective and it is through this diversity of thought that we grow stronger. A central idea has always defined our power at MPA – the power of involvement. The more involvement we have, the more diverse our association becomes. The greater our diversity, the stronger our collective representation of the profession and its people.
But MPA can’t create this strength on its own. It’s up to each of us to actively choose involvement and make it a reality. We cannot afford to stand on the sidelines or be passive participants if we want to drive meaningful progress. Influence is a collaborative force. Change isn’t about one person or one group leading the way; it’s about how each of us contributes to a shared vision. We need everyone. We need the individuals. We need you to contribute to MPA so that MPA can best represent everyone.
MPA has thrived for 141 years because of the many voices that have united to create something greater than any one individual or group could accomplish. So, how can you actively help shape the future of MPA? It’s easier than you might think. It starts by simply showing up – attend meetings, join committees and participate with fellow members. Your participation, no matter how small it may seem, makes a difference.
But participation isn’t just about being present – it’s about being engaged. Offer feedback on current priorities. Share your successes, challenges and ideas for improvement. Take part in meaningful discussions with your peers that push the boundaries of what’s possible. Your involvement is essential to ensure that MPA continues to evolve and remain relevant to our profession and the diverse professionals we serve.
If you are a member who is already actively engaged with MPA and knows the importance of that involvement, take the next step and make it your mission to identify several professionals who are not yet members and get them involved. Help MPA gain strength through an engaged and diverse representation. MPA offers plenty of opportunities for individuals of all interests to find something they can be passionate about.
At the heart of MPA is a shared vision: to create lasting value and positive change, not only for today, but for future generations. This is a goal that cannot be accomplished by just a few – it requires a collective effort, fueled by passion, dedication and the diversity each member brings.
MPA wants and needs all of us, all of you. The MPA community represents those who choose to be engaged. We need everyone to help form a diverse community that shapes MPA’s future legacy so that its future properly represents everyone, represents us and represents you!
"At the heart of MPA is a shared vision: to create lasting value and positive change, not only for today, but for future generations. This is a goal that cannot be accomplished by just a few – it requires a collective effort, fueled by passion, dedication and the diversity each member brings."
BY MARK GLASPER, chief executive officer, Michigan Pharmacists Association
I have been a member of the National Alliance of State Pharmacy Associations (NASPA) for nearly eight years, split between my tenure with the Kentucky Pharmacists Association and now with MPA. Over those years, I have witnessed firsthand the tremendous value that NASPA brings to our work and the broader pharmacy profession. NASPA is not merely a resource – it is a strategic partner, a knowledge hub and an advocate for the vital role pharmacists play in health care.
One of the greatest strengths of NASPA lies in its ability to connect state pharmacy associations across the country. This network, comprised of my state association executive peers, fosters an exchange of innovative ideas, strategies and best practices, allowing us to tackle challenges collectively to better serve our respective memberships. Whether we are addressing legislative concerns, workplace issues or association management issues, NASPA ensures that we do not have to navigate these issues alone.
We hold substantive, in-person meetings each year at the American Pharmacists Association and National Community Pharmacists Association annual meetings. These meetings combine education with networking opportunities to generate ideas that I bring back to MPA for implementation. NASPA’s annual Leadership
Conference, sponsored by Pharmacists Mutual Insurance, hosts only the state executives and their association presidents-elect for an unparalleled bonding experience. This conference has been the source of great ideas for us to implement at MPA, including “blowing up” the ACE awards banquet in favor of a free reception for all attendees and an annual online Governance Orientation for MPA Executive and practice section board members.
NASPA’s commitment to professional development –yours and mine – is another cornerstone of its value. Through its educational programs and resources, it empowers pharmacists and pharmacy technicians to stay at the forefront of industry advancements. For example, programs like the Pharmacy-Based Pointof-Care Test & Treat National Certificate enable our
"Moreover, NASPA hosts monthly calls with APhA and NCPA, and periodic calls with the National Association of Chain Drug Stores and the National Association of Boards of Pharmacy, where state execs get the most up-to-date information on national legislation while we share what is happening in the states with our national partners."
members to expand their skill sets and meet the evolving needs of patients. In collaboration with APhA, NASPA also conducts research to provide comprehensive Pharmacist and Pharmacy Technician Vaccination Authority information for all 50 states. We have monthly scope-ofpractice calls to stay up to date on the ever-changing landscape of pharmacy practice and monthly coffee chats just to stay in touch. We also have quite an active listserv, where I maintain more than 50 threads of discussion so I can always look back at what has been done at other state pharmacy associations.
Advocacy is integral to the mission of any state pharmacy association, and NASPA amplifies our efforts. From legislative updates to advocacy toolkits, NASPA provides us with the resources needed to champion the interests of pharmacists and the patients you serve. This support has been instrumental in shaping policies that enhance the delivery of pharmacy services and improve public health outcomes.
Moreover, NASPA hosts monthly calls with APhA and NCPA, and periodic calls with the National Association of Chain Drug Stores and the National Association of Boards of Pharmacy, where state execs get the most up-to-date information on national legislation while we share what is happening in the states with our national partners. NASPA also coordinates sign-on letters with the nationals, so all states have an opportunity to be listed on important letters directed to the president, Congress or federal agencies.
You may have wondered why NASPA is associated with the OTC Self-Care Competition, held for college of pharmacy teams of our student pharmacists at every Annual Convention & Exposition. NASPA sponsors the popular “Jeopardy!”-style competition, which packs the house each year with MPA members showing their school colors. NASPA also annually sponsors, jointly with APhA, the prestigious Bowl of Hygeia Award and coordinates the Pharmacists Mutual Insurance Distinguished Young Pharmacist Award, both of which are presented to deserving MPA members at ACE.
I have also had the pleasure of serving on the NASPA Board of Directors and I am now in my final year of my second term, not to mention the many committees on which I have served. It has been an honor to give back to NASPA for all that I have learned over the years.
I might add that I was on the search committee for NASPA’s new CEO a little over a year ago. We overwhelmingly selected Krystal Weaver, Pharm.D., JD, and I look forward to the new heights she takes NASPA and all the state pharmacy associations.
I am proud to partner on behalf of MPA with NASPA to advance the pharmacy profession. Together, we are shaping a future where pharmacists are recognized as essential health care providers and where patients have greater access to the care they need. NASPA’s unwavering commitment to collaboration, education and advocacy makes it an invaluable ally in this journey.
MPA events, as well as health observances, are included below. For the most up-to-date information, please visit our online calendar at MichiganPharmacists.org/events
Tuesday, Apr. 1Wednesday, Apr. 30 Alcohol Awareness Month Nationwide
Thursday, Apr. 10
MSHP Board of Directors
Grand Traverse Resort and Spa, Traverse City
Thursday, Apr. 10
Executive Board Meeting
Grand Traverse Resort and Spa, Traverse City 11-13
Friday, Apr. 11-
Sunday, Apr. 13
MPA Annual Convention & Exposition
Grand Traverse Resort and Spa, Traverse City 12
Saturday, Apr. 12
CSPM Annual Meeting and Luncheon
Grand Traverse Resort and Spa, Traverse City 12
Saturday, Apr. 12
MSCP Annual Meeting and Luncheon
Grand Traverse Resort and Spa, Traverse City 12
Saturday, Apr. 12
MSPT Annual Meeting and Luncheon
Grand Traverse Resort and Spa, Traverse City 13
Saturday, Apr. 13
MPA House of Delegates
8
8
Thursday, May 1Saturday, May 31 Asthma and Allergy Awareness Month Nationwide
Thursday, May 1
NCPA Congressional Fly-In Alexandria, Virginia
Thursday, May 8
MSHP Committee Day
MPA Headquarters, Lansing
Thursday, May 8
MSHP Board of Directors
MPA Headquarters, Lansing 9
Friday, May 9
MSPT Board of Directors Virtual
Tuesday, May 13
MPA Executive Board Meeting Virtual
Thursday, May 15 MPF Board of Trustees Hybrid
Tuesday, May 20 MSCP Board of Directors Virtual
Monday, May 26 Memorial Day MPA offices closed
Thursday, June 5
MSHP Board of Directors Virtual
Wednesday, June 11 MPF Golf Classic Timber Trace Golf Club, Pinckney 27
Friday, June 27 National HIV Testing Day Nationwide
Please note: Some board and committee meetings may be subject to a change in format to virtual or in-person at the discretion of the members. Please check the online calendar or contact MPA@MichiganPharmacists.org for more information.
Grand Traverse Resort and Spa, Traverse City 30
Wednesday, Apr. 30
NCPA Congressional Fly-In Alexandria, Virginia
WEDNESDAY, MAY 14, 10:30 a.m.
Pharmacy Technician Immunization Training
Mixed format – Self study and live webinar training lecturepanda.com/a/PharmacyTechnicianImmunization-LiveSessionRegistration
WEDNESDAY, MAY 21, 9 a.m.-5 p.m.
APhA Pharmacy-based Immunization Training
Mixed format – Self study and live webinar training https://fs27.formsite.com/7jFRIO/rvvtjkxxie/index
WEDNESDAY, JUNE 11, 10:30 a.m.
Pharmacy Technician Immunization Training
Mixed format – Self study and live webinar training lecturepanda.com/a/PharmacyTechnicianImmunizationLiveSessionRegistration
If you have any questions about any of these MPA education events, please email MPA@MichiganPharmacists.org
A beloved husband, father, grandfather and brother passed away Jan. 23, 2025, at home at the age of 88. Dennis Russel Princing was born on December 5, 1936, in Saginaw, Michigan, to Russel and Mae (Pearce) Princing. He married Nancy A. (Slachta) Princing on June 22, 1957. She survives him. He is also survived by his children and their spouses: Kimberly Princing, Ann and Richard Main, Matthew and Jenny Princing, and Christopher and Jennifer Princing. He was predeceased by his son Kurt Princing in 2021. He is also survived by his beloved grandchildren Sarah Grose, Caroline Yockey, Stephanie and Kyle Ecker, Bryttany and Brian Lienczewski, Jayson and Emily Yockey, Sydney Princing and Jenna Princing; sister Jane and Danny Cline; in-laws Mary Princing, Mary Margaret Slachta, Don and Sally Zahnow Slachtal; great-grandchildren Hudson and Nolan Yockey, Maverick and Gunner Lienczewski; and many nieces, nephews, extended family and numerous families that they became acquainted with him over the years.
Dennis graduated from Arthur Hill High School in 1958 and Ferris Institute (College of Pharmacy) in 1962. He owned and operated Princing & Brennan Pharmacy and later Princing’s Pharmacy in Saginaw for 60-plus years. Princing’s Pharmacy was sold to new owners in 2016 and remains open under its original name.
Dennis was considered genuine, caring and loyal. Generations of families came to Princing's Pharmacy because of him and his generosity. Dennis employed hundreds of people throughout his ownership of Princing's Pharmacy, supporting many families, with whom he and Nancy are still friends. Dennis was an active member of Good Shepherd Lutheran Church and served as an usher, elder and past president of the congregation.
He was very passionate about his faith, and, as such, was one of the founding members of Saginaw Valley Lutheran High School. He sat on the VLHS Foundation Board and chaired the committee building the new school. In his various offices, including his last as president of the Board of Directors, Dennis handed out diplomas to hundreds of graduates. Dennis and Nancy continued to support Lutheran education at VLHS through the years and eventually watched several grandchildren earn their diplomas.
Dennis was interested and active in support of small, independent businesses, especially in Saginaw County. He was past president of the Saginaw Exchange Club and took pride in its dedication to the prevention of child abuse, promotion of American ideals, youth projects and community service. In his leisure time, Dennis loved spending time with his family; he and Nancy enjoyed many evenings entertaining a house full of children, grandchildren, other family and their many friends at the house on Lake Huron. — OBITS AND MEMORIES —
BY JOSEPH PAUL JAVIER,
Akey part of the Ending the HIV Epidemic (EHE) initiative is expanding access to prevention methods, particularly Pre-Exposure Prophylaxis and Post-Exposure Prophylaxis (PrEP/PEP). The EHE initiative highlights pharmacists' key role in improving access to PrEP/PEP. It recognizes pharmacists as essential health care providers due to their accessibility, expertise in medication management and ability to engage with communities directly.
The EHE initiative identifies Michigan as a hot spot for HIV, particularly within the Metro Detroit area. According to the latest data from the Michigan Department of Health and Human Services, more than 18,000 Michiganders are currently living with HIV and its prevalence is on the rise. The Centers for Disease Control reports that more than one-third of people in the U.S. who could benefit from PrEP were prescribed it. However, Black and Latino people are disproportionately under-prescribed PrEP relative to their need for HIV prevention. Many from these communities also may not be aware of PEP to prevent HIV infection or that PEP needs to be taken within 72 hours of exposure to be effective.
By incorporating pharmacists into the fight against HIV, we can better address these disparities. Pharmacists can make a profound and lasting impact on the community, significantly improving access to these lifesaving medications.
In some states, pharmacists are already authorized to prescribe and dispense PrEP/PEP directly to patients, which removes barriers to access, such as the need to see a physician for a prescription. This is part of a broader push to allow pharmacists to provide services traditionally performed by doctors, which can be especially crucial in underserved areas and minority groups. A study done in Mississippi proved pharmacists were effective at initiating same-day PrEP, especially among low-income Black men who have sex with men. Another pharmacist-led tele-PrEP clinic demonstrated high adherence rates for their patients, with roughly 90% of them taking their PrEP as prescribed. As medication experts, pharmacists can work with other medical professionals to ensure coordinated care for patients on PrEP or PEP. This interdisciplinary collaboration can ensure that individuals get the appropriate screenings, follow-up care and support they require.
“Several steps can be taken to prepare pharmacists to provide PrEP and PEP services better and help accomplish the goals of the EHE Initiative. Research shows that while pharmacists are willing to provide PrEP/PEP to their patients, they would be more confident in doing so and providing appropriate counseling with additional HIV prevention education. Pharmacists should receive comprehensive training on HIV medications – including PrEP and PEP –and their latest clinical guidelines, drug interactions, potential side effects and adherence strategies. Continuing education programs and specialized certifications can enhance pharmacists' knowledge and confidence in delivering these services.”
Pharmacists are encouraged to raise awareness of PrEP/PEP in communities and educate individuals about their availability. This includes identifying people at risk of HIV and discussing prevention options in a non-stigmatizing way. Research shows that 81% of pharmacists are willing to provide PrEP/PEP, but less than 13% of pharmacies initiate these HIV prevention therapies. HIV, with its persistent stigma and associated structural barriers to clinical engagement, presents a prime opportunity for community pharmacist intervention.
Studies have shown that patients eligible for PrEP/PEP may be reluctant to visit dedicated STI clinics or infectious disease physicians due to the perceived stigma of being seen at these locations or the fear of being “outed.” Differentiated delivery via community pharmacies could expand PrEP/PEP access to this population as people go to community pharmacies for various reasons, not just for sexual health. In the community pharmacy setting, patients can receive sexual health resources, get screened for PrEP/PEP eligibility and pick up their PrEP/ PEP prescriptions in an easily-accessible location without fear of being associated with a dedicated clinic for HIV or other STIs.
Aside from addressing stigma, pharmacist-initiated PrEP/PEP increases accessibility in many other ways. With approximately 89% of Americans living within five miles of a pharmacy, including rural or economically disadvantaged areas, pharmacists are vital to addressing gaps in access to PrEP/PEP. This emphasizes pharmacists’ role in ensuring that people who may otherwise face barriers to care have easier access to these life-saving medications.
Pharmacists play a key role in adherence to PrEP and PEP, ensuring patients understand how to take the medications correctly and how they
work, the importance of continued use, assisting with financial barriers and managing potential side effects. Adherence can be monitored through refill tracking and follow-up appointments, ensuring patients stay on track. Personalized care tailored to the patient's lifestyle and preferences enhances adherence, as does offering culturally sensitive support. However, the distribution of community pharmacies currently providing PrEP/PEP is less concentrated in rural areas. Addressing the availability of coverage will improve public health outcomes statewide.
Tapping pharmacists to increase PrEP/PEP accessibility is not without its barriers. To implement effective community pharmacy PrEP and PEP programs, the health care system should expand pharmacists’ PrEP and PEP education and incorporate ordering and monitoring of laboratory tests, workspace and workflow changes as appropriate to their site.
Several steps can be taken to prepare pharmacists to provide PrEP and PEP services better and help accomplish the goals of the EHE Initiative. Research shows that while pharmacists are willing to provide PrEP/PEP to their patients, they would be more confident in doing so and providing appropriate counseling with additional HIV prevention education. Pharmacists should receive comprehensive training on HIV medications – including PrEP and PEP – and their latest clinical guidelines, drug interactions, potential side effects and adherence strategies. Continuing education programs and specialized certifications can enhance pharmacists' knowledge and confidence in delivering these services.
Advocating for changes in state laws and regulations to grant pharmacists the ability to prescribe, dispense, and provide necessary follow-up care is crucial to improving patient access and care. By focusing on these areas, pharmacists will be better equipped to provide practical, accessible PrEP/PEP services that contribute to the goals of the Ending the HIV Epidemic.
BY BRYAN FREEMAN, chief strategy officer, Michigan Pharmacists Association
It’s hard to believe, but we are four months into 2025. First and foremost, thank you for your continued support, as the Michigan Pharmacists Association would not be where it is without you. This year, MPA is grateful for your membership and has seen many new pharmacy professionals join our ranks. As a member-driven organization, MPA wants you to know what the membership department has been up to and the additional areas we are focusing on in 2025.
• Members can now purchase additional years of membership at a reduced rate. The memberships can be purchased in the online MPA store. You may purchase two additional years of membership which will save you time and money.
• MPA continues taking part in local association meetings and events. The goal is to maintain and have representation from MPA at each local board meeting and event. Be sure to reach out to MPA to ensure that staff can participate and share important updates and obtain feedback.
• MPA hosted more than 80 exhibit booths at the MPA Annual Convention & Exposition. With more than 700 people in attendance, it was nice to see everyone in Traverse City.
• The MPA member referral program will relaunch later this year. Be on the lookout for updates and an overview of the rewards that can be earned by participating in this program.
• Through the new association management system and website that launched late last year, MPA is making it easier to update member profiles and pertinent information. Periodically, MPA will reach out asking for specific profile information to be confirmed, updated or added. Having updated and accurate information provides members with a better understanding of their membership and the value MPA membership offers.
Whether you have recently joined MPA, or have been a part of MPA’s efforts to further the profession for years, thank you for taking this opportunity to help members maximize the impact of their membership. When you become an MPA member, you receive complementary local association membership. Local associations fall under the umbrella of MPA and provide an opportunity to foster relationships with fellow pharmacy professionals in your community. Take advantage of this amazing opportunity and get involved if you can.
If you are unsure of which local association you belong to, please login to your MPA account on the MPA website and check out your profile in the Member Compass area. There you can see which local association you belong to or select a local association you would like to be a part of. If you need any help or have questions, please email MPA@ MichiganPharmacists.org
Pharm.D., president-elect, MSCP, Michigan Pharmacy Foundation trustee, pharmacist at Warriors Pharmacy
New MPA members (Jan. 1-March 31)
Madan Aheer
Foysol Ahmed
Prasannaraddi Alavandi
Sara Aljajawi
Majed Almawri
Marya Alsanabani
Ibrahim Alwa
Eberechi Amadi
Adam Anderson
Thomas Anderson
Moussa Aoun
Katerina Asselin
Grace Atadero
Raegan Avery
Issa Awad
Hyatt Bakri
Jessica Barnes
Beryl Bartkus
Huda Bazzi
Patricia Benardo
Emiliy Berens
Tyliea Bethke
Michelle Blevins
Emily Bolle
Robert Brown
Nicole Bullock
Ashley Burke
Tami Burt
Allison Butler
Krisann Byers
Tiffany Carter
Shena Caruthers
Member Since: 2022
Describe Your Role/Day in the Life: My day consists of waking up, having breakfast with my wife and three kids, then heading to the pharmacy for the day.
Why You’re an MPA Member: I became an MPA member because I felt it was extremely important to be involved and advocate for the profession that has given me so much. I am truly passionate about community pharmacy and witness first-hand the potential that pharmacy has in providing quality care as well as bridging issues with access to that care. There are struggles within the profession across the country, specifically in community pharmacy, and I wanted to be able to share my voice and opinions regarding those concerns. I felt and still feel like MPA is fighting for pharmacy to improve the quality of life and is at the forefront of many of the issues plaguing the profession. I encourage everyone to join MPA and share their voices too.
Recent Accomplishments: I was recently elected to be MSCP president-elect and was presented with the Pharmacists Mutual Distinguished Young Pharmacist Award at the Annual Convention & Exposition in Traverse City.
Jamie Chamberlain- Hance Divyang Chhunchha
Chandrasekharam Chittiprolu
Paul Chludzinski
Lauren Chrysler
Lauren Cianciolo
Elizabeth Clark
Christine Clifford
Lena Collins
Krystal Commons
Kaitlyn Cool
Philip Cornelius
Leanne Cotant
Mark Court
Renee Couturier
Marco Cuevas-Terrones
Adriana Cullimore
Breann Darbee
Lynette Davis
Kelsey Davis
Bonnie Delor
Danielle Deltmann
Rick Dettloff
Ashley Diedrich
Sham Dirki
Branden Drielick
Donald Edgecomb
Kyle Evans
Jana Fakih
Mohamad Farran
Beth Field
Mitchell Galea
Daniel Garcia
Jennifer Garcia
Roman Golshteyn
Brandy Gore
Joselyn Gracia
Oswaldo Grimaldo
Edvard Guillaume
Samia Hamway
Suzan Hanna
Amira Hantosh
Sara Harb
Sandra Hartnagle
David Haugh
Aubyn Henry
Jessica Hillard
Angela Hunt
Asha Jackson
John Jacobs
Rokaia Jasem
Julie John
Brittany Johnson
Patricia Keim
Doreen Kern
Marcelle Khalife
Harmony Kinney
Corey Klein
Marshall Koen
Nathaniel Koloian
Jewel Konja
Jessica Land
Christina Lawson
Jona Lekura
Arshad Mahmood
Mohamed Mahmoud
Tyler Maslowski
Shatha Matti
Ellen Maxwell
Kaitlyn Mcafee
Lisa Mccarhy
Ty'janna Mcclain-Dixon
Mia Mcdaniels Terry
Zachary Mceldowney
Ismael Mihtar
Carrie Morrison
Daphne Murphy
Nancy Murphy
Hope Nelkie
Megan O'brien
Maya Oliver
Catlin Page
Brandie Paulsen
Alyssa Penney
Barbara Peterson
Eric Peterson
Caroline Pilbeam
Chantell Poe
Kevin Poling
Monica Polkowski
Mahmoud Rababa
Amanda Radcliffe
Alisha Ramsey
Cecilia Rodriguez
Hanna Rowell
Jaedyn Russell
Farah Sabbagh
Marieme Saint-Fluer
Antonio Salazar
Joseph Santana
Aaron Schmidt
Katie Schuitema
Paige Schultz
Chloe Schumacher
Jennifer Sembach
Breanna Shaffer
Alexander Smit
Melissa Smith
Christina Smith
Mckenna Snow
Jose Soto Jr
Ashley Spiecker
Rose Srour
Curtis Start
Daniel Stayer
Susan Stratton
Deborah Stringer
Sharon Swierpel
Keli Thakur
Anthony Tilman
Elena Trampevska
Angela Ufkes
Kyle Vanbrocklin
Sydney Vanburen
Angeles Villasenor
Angelina-Jessica Vita
Tan Vo
Tiffany Wade
Julieann Waitulionis
Andrea Wang
Brittney Waters
Hannah Webb
Thomas Wells
Kira Werda
Renee Wierda
Jenna Yancich
Mohamad- Nour Zabib
Jennifer Zimmerman
Maryam Zoabi
Mason Zuker
BY JOHN BRUBAKER, MPF chair
I want to ask these three questions as it relates to the Michigan Pharmacy Foundation and to you, the members of the Michigan Pharmacists Association.
Why does the Michigan Pharmacy Foundation exist?
MPF began 31 years ago when 10 forward-thinking MPA members felt there was a need for a philanthropic arm of the MPA. This is common to many organizations. With their initial investment, the Michigan Pharmacy Foundation Board of Trustees has seen this investment grow to over $750,000. This may seem like a great deal of money; however, like any investment, the idea is to grow this for the future, while still investing in the ideals of the Foundation for today.
What does the Foundation actually do?
MPF’s mission is to “Foster the Future of Pharmacy” by providing future leaders who are MPA members an expensefree opportunity to attend the Health Professional Leadership Academy. This program has been developed to train future leaders through exercises in personal growth and introspection, working and recognizing how others respond and how to best motivate and develop skills to lead the profession to greater heights.
For the past 20 years, the Foundation has provided three scholarships to qualified pharmacy students to the amount of over $150,000. The Foundation has also created the Larry Wagenknecht Leadership Scholarship, in honor of the longtime MPA CEO. The Leadership Scholarship is awarded annually in the amount of $3,000.
The third tool the Foundation has at its disposal is its grant program. Awarded grants have provided inhalation instruction to patients, provided free blood pressure monitors, and billboard and bag stuffers to advertise the “Use Caution, Drive Safely” campaign to warn drivers about the dangers of driving while on cold and flu medications.
How can you be more involved with Fostering the Future of Pharmacy?
There are numerous opportunities to be involved. Sponsorships and participating with a foursome in our Golf Classic in June, at the Cornhole Tournament at the Annual Convention & Exposition and signing up to help the Motion for a Mission fundraiser in the fall. The Foundation also accepts donations through the Michigan Pharmacy Foundation website, michiganpharmacyfoundation.org and there are seven different forms of online giving. The Foundation can also help individuals establish a named endowed scholarship in their honor. For those who are interested, we also accept nominations to serve on the MPF Board as a Trustee.
For those donors who have supported the Foundation through the years, I want to thank you from the bottom of my heart. Without your support, the Foundation would not be as successful as it is today. I want to welcome new donors, who help the Foundation Foster the Future of Pharmacy!
The Michigan Pharmacy Foundation (MPF) is proud to recognize exceptional student pharmacists during the Michigan Pharmacists Association (MPA) Annual Convention & Exposition. Each year, a $2,500 scholarship is awarded to at least one student pharmacist at each of Michigan’s three colleges of pharmacy. The Larry Wagenknecht Leadership Scholarship is a $3,000 scholarship established in 2021. Since 2002, MPF has awarded more than $150,000 in scholarships to deserving future practitioners.
Warren
Kayla Craig is a third-year pharmacy student at Wayne State University. She interns at Meijer Pharmacy and co-led a research project on reproductive health education, presenting at national pharmacy conferences and contributing to academic publications. Craig is actively involved in professional organizations, holding leadership roles in Lambda Kappa Sigma Omicron Chapter, the American Pharmacists Association – Academy of Student Pharmacists and Macomb County Pharmacists Association. She is dedicated to advancing patient care, pharmacy education and community health initiatives.
Wyoming
Carleigh Hendrickson graduated from Hope College in Holland, obtaining a bachelor’s degree in biology before attending pharmacy school at the University of Michigan. At Michigan, she has been involved in the Student Michigan Pharmacists Association, where she served as chapter president and co-founded a Pediatric Pharmacy Association Student Group, having served as the inaugural president. She is passionate about advocating for the pharmacy profession – her experience at Pharmacy Day at the Capitol in 2023 led her to represent the University of Michigan at the National Association of Chain Drug Stores RxIMPACT Day on Capitol Hill in Washington, D.C. last year. With interests in pediatrics and cardiology, Hendrickson is pursuing a residency post-graduation.
Bloomfield Hills
Tiasha Nandi is a P3 student from the metro Detroit area with a strong interest in both academia and industry. Her favorite part of pharmacy school has been connecting with peers and becoming involved in different RSOs. She is committed to continuous growth through education, research and professional engagement. Outside the classroom, Nandi is passionate about health and wellness, is an avid golfer, likes trying new activities/hobbies and spending quality time with family and friends.
Shelby Township
Shannon Habba is a fourth-year student pharmacist at Wayne State University. She has a strong commitment to the pharmacy profession through her community and association engagement, including the American Pharmacists Association –Academy of Student Pharmacists, Michigan Pharmacists Association, Macomb County Pharmacists Association, Lambda Kappa Sigma and Phi Lambda Sigma. With a diverse range of pharmacy internship experiences, such as community practice, ambulatory care and managed care, Habba brings a wealth of practical knowledge to her academic journey with future plans to pursue a community-based pharmacy residency. Her leadership skills and professional engagement reflect a genuine passion for improving the wellbeing of patients and making a meaningful impact on the pharmacy profession.
Wednesday, June 11, 2025
9 a.m. to 4 p.m.
SPONSOR LINK: michiganpharmacyfoundation.org/wp-content/ uploads/2025/04/MPF-Golf-Classic-SponsorshipPromotion-Sheet_25_ONLINE.pdf
PARTICIPANT LINK: https://fs27.formsite.com/7jFRIO/q8hqf6zjya/index
The weather is getting warmer, and it’s time to start thinking about golf — specifically the Michigan Pharmacy Foundation's (MPF) Golf Classic on June 11. The MPF Board of Trustees is excited to continue the tradition of this annual fundraising event, which supports student pharmacist scholarships, innovative pilot projects and the MPF Health Professional Leadership Academy. The event will be an 18-hole, four-person scramble with men’s, women’s and mixed team flights permitted. Whether you are a professional golfer or have never golfed before, you are sure to enjoy the day with colleagues, family and friends in this format of play.
Discounted registration is available through May 19 and can be found online at MPFgolf.org
For more details about this year’s event, please email MPF Executive Director Rick Drabek at RDrabek@MichiganPharmacists.org
BY ERIC ROATH, Pharm.D., MBA; MPA director of government affairs
These past few years have brought several major changes to the pharmacy landscape here in Michigan. Not only has the long-awaited PBM Licensure and Regulation Act gone into effect (January 2024), but pharmacists in Michigan now have expanded scope of practice to include prescriptive authority for immunizations (Senate Bill 219 of 2023), antiviral medications pursuant to test-to-treat services (also SB 219) and, most recently, hormonal contraception (House Bill 5436 of 2024). There has scarcely been a more exciting time to be a pharmacy practitioner in Michigan.
However, challenges still remain. Enforcement of the PBM Licensure and Regulation Act by the Department of Insurance and Financial Services (DIFS) has been slow, with relatively few complaints finding favorable resolution on behalf of the pharmacy. SB 219 has yet to be implemented due to the lengthy process of rules promulgation and many questions remain about how pharmacists will enroll and be credentialed as prescribers.
This is where your engagement with MPA and the regulatory process comes into play. While we have some good momentum, it is critical that we keep up our efforts to see our hard work finally bear fruit.
It is no doubt discouraging to go through the work of submitting a PBM complaint only to be left waiting for weeks and months on end. Regardless, it’s important that we continue to use the mechanisms in place. Your complaints have sparked significant conversations around claw-backs, audits and MAC pricing updates among the staff at DIFS. Even though progress is slow, there is progress.
That being said, MPA knows it’s time to go back to the Legislature. The reforms that have been in effect for over a year now have not done enough to protect the practice of pharmacy from crippling reimbursement levels and other challenges that stand in the way of us serving our patients. MPA has already begun conversations to have new legislation introduced aimed at making pharmacy business models sustainable once more and stopping the tide of pharmacy closures that reached a crescendo in 2024.
• Implementation of a NADAC + Dispensing Fee Standard: Require that this be standard for all outpatient pharmacies (except specialty pharmacies) and be applicable to all commercial and state-sponsored plans.
• Elimination of Negative Margins on Generics: Add language that if actual cost to dispense is below NADAC, the pharmacy may appeal the cost basis and provide evidence of the lowest available purchase price for generic medications (similar to Arkansas Public Act 900’s MAC provisions)
• Prohibition of Mandatory Discount Cards: Prohibit PBMs from imposing automatic use of discount programs, such as GoodRx, at the switch. Language should also prevent PBMs from reversing and resubmitting claims without notifying the pharmacy.
• Dispensing Fee Adjustment: Work with the Michigan Department of Health and Human Services to conduct a new cost of dispensing study and have this study repeated every two years.
• Misapplication of Heat Zones by PBMs: Heat zones are used by the Centers for Medicare & Medicaid Services to identify areas that have higher rates of health care fraud. However, PBMs are developing and utilizing their own heat zones as justification to impose unrealistic barriers to entry for new pharmacies, increasing the risk of generating pharmacy deserts and reducing overall access to care.
• Transparency Requirements: Require PBMs to disclose what is charged to the payer and what is paid to the pharmacy and require specific (rather than aggregate) data in transparency reports to DIFS. Allow aggregate data to be made available to the public.
• Define “fair and reasonable” reimbursement standards: Also require that these terms be reviewed by the director upon a complaint from a pharmacy. Require that PBMs reimburse affiliated pharmacies the same as all other pharmacies within a comparable plan/benefit.
The recent scope of practice changes are an important step forward, but there are so many clinical practice authorities that pharmacists could utilize to improve the health and wellbeing of our patients. Many of these models have come before the MPA House of Delegates through various resolutions that have urged MPA to advocate for more advanced practice privileges.
While we will continue to push for these scope expansions, it is important for us to focus on implementing service models for the authorities we have just recently received. Depending on the outcome of pending decisions by the health plans, pharmacies may soon have to become familiar with a privilege we’ve fought for but yet to fully utilize: medical billing. Once we’ve demonstrated how we can successfully implement and bill for these types of services in our pharmacies, adding additional services will likely become much more feasible.
While MPA will continue to fight hard for the profession, this is no substitute for your personal advocacy efforts. Legislators and
Resolution Number & Title Therefore, be it resolved…
22-06: Independent Long-Acting Injectable Administration Authority for Pharmacists
That MPA pursues legislative changes to allow pharmacists to administer and be reimbursed for the administration of prescribed injectables autonomously, independent of a physician-authorized collaborative practice agreement.
23-02: Pharmacists as Providers of HIV PrEP and PEP
23-07: Establishing a Consulting/ Drugless Pharmacy License
That MPA pursues legislative and regulatory changes allowing pharmacists to provide HIV PrEP and PEP under Michigan law without a collaborative practice agreement and to allow pharmacists and pharmacies to bill for those services.
That MPA pursues legislative and regulatory action to grant a waiver to the Michigan Administrative Code R 338.536 pharmacy housing rule for the purposes of independent pharmacy practice by independent contractors to establish drugless/ consulting pharmacy license.
24-02: Independent Pharmacist Prescribing of Opioid Antagonist
24-03: Allowing Pharmacists to Prescribe and Refill Maintenance Medications Previously Prescribed by a Prescriber and Filled at Their Pharmacy
That in order to close this gap in providing lifesaving therapy to patients, that the Michigan Pharmacists Association lobby Michigan legislators for an amendment to the current law to allow for independent pharmacist prescribing of opioid antagonists.
That MPA pursues legislative and regulatory changes allowing pharmacists to prescribe and dispense refills of up to a 60-day supply of a non-controlled maintenance medications for patients that have been previously prescribed by another prescribing authority and filled at their pharmacy; without a collaborative practice agreement.
policymakers need to hear your story. They need to hear about how you help your patients in your communities and the urgent need for payment reform. If you’re new to advocacy, there are a couple of ways you can get engaged:
• Send messages using the MPA Advocacy Action Center on the MPA website. We let you know what issues are currently active and allow you to reach out directly to your legislator in just a few easy clicks.
• Attend Pharmacy Day at the Capitol Sept. 18, 2025, where MPA can set you up to meet with your legislators. We’ll be sure to equip you with all the appropriate talking points through our Advocacy Bootcamp Videos, which will be launching this summer, but most importantly, the legislators want to hear your story.
• Donate to Pharmacy PAC. Even small dollar donations add up and help us to further our important work in advocating on behalf of the profession. We’re on a mission to double our number of donors from last year. Every little bit helps!
Thank you for all that you do. Keep fighting the good fight. I’m confident that there’s never been a more exciting time to be a practicing pharmacist in Michigan.
BY FARAH JALLOULRIZK, Pharm.D., MBA, chief pharmacy officer, Michigan Pharmacists Association; and ZEINAB DABAJA, P4 student, Wayne State University
1. Understand the health impacts and underlying mechanisms of nicotine addiction.
2. Identify and counsel on both prescription and over-the-counter (OTC) medications for smoking cessation.
3. Develop tailored smoking cessation plans for patients using pharmacologic and behavioral approaches.
4. Explain the role of nicotine replacement therapy (NRT) and non-nicotine-based medications in quitting smoking.
5. Recognize the importance of patient follow-up and support to ensure the success of smoking cessation efforts.
Smoking remains a significant public health challenge, responsible for millions of deaths worldwide each year. It is one of the leading causes of preventable illnesses contributing to a wide range of chronic diseases, including heart disease, various cancers, respiratory illnesses and stroke. In the United States alone, cigarette smoking is responsible for over 480,000 deaths annually, accounting for nearly one in five deaths. Beyond the devastating health impacts, smoking incurs billions of dollars in healthcare costs and lost productivity. Even though public health efforts have made significant strides in reducing smoking rates, millions of people still face the difficult challenge of quitting.
Pharmacists, as one of the most accessible and trusted healthcare professionals, are uniquely positioned to play a pivotal role in smoking cessation efforts. By combining their clinical expertise with personalized patient care, pharmacists can guide individuals through the complex journey of quitting smoking. From understanding the science of nicotine addiction to tailoring behavioral and pharmacologic interventions, pharmacists are wellequipped to provide the support and tools necessary to help patients succeed.
This article explores the critical role of pharmacists in smoking cessation, focusing on the health impacts of smoking, the mechanisms of nicotine addiction, and evidence-based strategies to assist patients. By empowering pharmacists with knowledge and practical approaches, we can amplify their ability to drive meaningful change, reduce smoking-related illnesses, and improve public health outcomes.
Over the past 50 years, the risk of dying from cigarette smoking has increased in the U.S. Smoking is the leading cause of approximately 90% of all lung cancer deaths, with more women dying from lung cancer each year than from breast cancer. Additionally, smoking causes about 80% of all deaths from chronic obstructive pulmonary disease (COPD) and significantly raises the risk of coronary artery disease, stroke, and other cardiovascular conditions. The dangers of cigarette smoking are not limited to smokers alone; it also poses
serious health risks to those exposed to secondhand smoke. Non-smokers exposed to secondhand smoke face an increased risk of respiratory infections and lung cancer. Smoking, therefore, increases the risk of death from all causes in both men and women while also endangering the health of those around them.
Smoking not only affects individual health but also places a substantial burden on the healthcare system. The treatment of smoking-related illnesses, such as cancer, COPD, and cardiovascular diseases, results in billions of dollars in healthcare costs each year. Moreover, the loss of productivity due to smokingrelated disabilities and premature deaths adds to the economic impact. By promoting smoking cessation, pharmacists can play a crucial role in reducing these costs and improving overall public health outcomes. The benefits of quitting smoking extend far beyond the individual smoker. Smoking cessation can lead to significant reductions in the incidence of smoking-related diseases, thereby decreasing healthcare expenditures and improving population health. Furthermore, the reduction in exposure to secondhand smoke benefits non-smokers, particularly vulnerable populations such as children and those with pre-existing health conditions. Pharmacists, through effective counseling and prescribing of cessation aids, can help patients achieve these benefits, contributing to a healthier society and a more sustainable healthcare system.
1. Centers for Disease Control and Prevention (CDC). Smoking and Tobacco Use: Fast Facts. Accessed January 2, 2025. Available at: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/ fast_facts/index.htm
2. U.S. Department of Health and Human Services (HHS). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Available at: https://www. surgeongeneral.gov/library/reports/50-years-of-progress/
BY BECKI FLEGEL, CPhT, Grand Haven
Walmart Pharmacy, MPA Professional Affairs and Education Committee member, Western Michigan Pharmacy Association board member, MSPT board member
When I started my pharmacy journey more than 15 years ago, certifications and licenses were not required. If you didn't go to college, you had to rely on your fellow technicians and pharmacists for on-the-job training. Most techs in retail settings like Walmart, Meijer and Costco started out as team members in other departments. Transferring into the pharmacy just meant changing job titles and responsibilities. It can be a big leap to look at this as more than that for some technicians.
I decided to pay for a pharmacy technician course at Grand Rapids Community College. It was being taught by a pharmacist from the nearby children’s hospital. One of the many nuggets I gleaned from him was the pharmacist’s main responsibility is to patient safety and a technician’s main responsibility is to make sure the pharmacist has enough time to focus on this. That made me see this job as something more. I was a part of a team whose main focus was the patient and their health and well-being.
I wanted to learn more. I wanted to learn as much as I could to help the pharmacist protect our patients. My job had turned into a passion – then a career.
In today’s pharmacy, whether the setting is in retail, nuclear, laboratory, hospital or compounding, the amount of work a pharmacist has to do is ever increasing and the amount of pharmacists in the work force is ever decreasing. For the most part, this is due to higher numbers of retirement-aged pharmacists and the decreasing number of pharmacy school applicants.
Some pharmacists have even decided to lower their stress levels and leave pharmacy altogether.
As a result, pharmacy burnout is a very real daily struggle. Pharmacists are at a higher risk of low quality of life, high fatigue, burnout, and even, in rare cases, suicide. Even though Michigan pharmacies rate as one of the least distressed in the country, according to APhA’s Well Being Index, these factors still increase the risk of medication errors. That's where pharmacy technicians can step in.
In late 2020, the Pharmacy Technician Certification Board launched the CPhT-ADV credential. Certified Pharmacy Technicians can earn advanced credentials by completing at least four of their specialty-based certification programs. These courses include the following:
• Controlled Substance Diversion
• Hazardous Drug Management
• Immunization Administration
• Medication Therapy Management
• Non-sterile Compounding
• Sterile Compounding
• Point-of-Care Testing
• Regulatory Compliance
• Supply Chain and Inventory Management
• Technician Product Verification
• Billing and Reimbursement
Not only would the fully credentialed technician raise their standard of care and excellence, but, in the case of immunization administration alone, it has already eased the workload of the pharmacist considerably. This changes the workplace from a frenzied, stressful environment, to one of a more controlled, patient-centered mindset.
In 2022, Michigan increased the scope of practice for its technicians to include Technician Product Verification, or Visual Verify. Having a TPV-certified technician on staff frees up the pharmacist to focus on patient care and safety even further.
With the addition of more pharmacies employing off-site automated filling facilities for maintenance medications, the pharmacist’s role is constantly redefining
itself. Recently, Gov. Gretchen Whitmer signed a bill that allows pharmacists to prescribe and dispense contraceptives and requires insurers to cover those contraceptives. For those patients who don’t have access, or can't afford to visit a primary care physician, these can be game-changers. Pharmacists will be in higher demand than ever, making a fully-trained technician working at the top of their license all the more valuable and necessary.
And with the introduction of pharmacointelligence, we can focus on educating patients and help form treatment plans with them, manage inventories more efficiently and maybe delve into the world of telemedicine. However, at this point, AI is not advanced enough to take the place of a welltrained technician. It could never replace the
empathy and complex problem-solving skills that are performed on a regular basis, but it can certainly enhance the daily running of pharmacies in general.
With further training and support from pharmacists and pharmacy leaders, today’s technician can achieve so much more than they could just 15 years ago. We can be found outside of the workplace helping our communities, in the classrooms teaching future technicians, serving on association boards, committees, national organizations and even state pharmacy boards advocating for our fellow technicians. The future for pharmacy technicians in Michigan is constantly changing and improving, making our career one of the most exciting ones in health care today.
“Not only would the fully credentialed technician raise their standard of care and excellence, but, in the case of immunization administration alone, it has already eased the workload of the pharmacist considerably. This changes the workplace from a frenzied, stressful environment, to one of a more controlled, patient-centered mindset.”
BY COURTNEY BIEHL, Pharm.D., MSCP president
As pharmacists and pharmacy technicians in Michigan, you are more than just health care providers – you are integral parts of the health care system, offering personalized care, expert advice and trusted support to communities across the state. However, the road to providing the best possible care for our patients is not without challenges. Today, community pharmacies are facing a variety of obstacles, from issues like pharmacy benefit manager (PBM) reform and pharmacy deserts to the pressing need for improved work conditions. Time is perhaps our biggest obstacle – how to find time to care for our patients, our families and ourselves while staying true to the profession we love. While these challenges are significant, they also offer an opportunity to unite as a profession and drive positive change, all while embracing the heart of community pharmacy.
With much going on in our personal and professional lives, finding where to start can be overwhelming. Asking ourselves some simple questions and building from there in small steps can be the most impactful. Does advocacy speak to me? Educating and improving the clinical knowledge of others? Mentoring new pharmacy professionals? Sharing technology and advancements?
Improving the working conditions of others? The Michigan Pharmacists Association has laid the groundwork for each of us to find our own professional path with the MPA Strategic Plan of Members First, Team Unity and Moving Forward goals.
Taking our Strategic Plan further – and for the love of another good acronym – as community pharmacists and community pharmacy technicians, I invite you to ask yourself “MPA” to help you with your next step:
• Am I Maximizing my membership and what I can do in my current role to the best of my abilities? Am I leveraging and optimizing all the community pharmacy resources made available to me to improve my team, my own wellbeing, or simply sharing my knowledge with others?
• Am I Participating in a local organization, annual convention, volunteer opportunity, MPF event or student outreach to lift up the future of our profession? Am I present at work for my patients, my team and myself? Am I collaborating and joining together with pharmacists and technicians from all disciplines to improve patient care?
• Am I an Advocate who is innovating and speaking for our profession, for our colleagues, for our patients and for ourselves?
Reflecting on what we have accomplished and where we would like to go next has helped me to re-energize as we continue to face professional obstacles head on.
One of the most pressing issues facing Michigan’s community pharmacies is the growing influence of PBMs. PBM third-party administrators are responsible for managing prescription drug benefits for health plans, but their practices often lead to reduced reimbursements for pharmacies and an increasing financial burden on patients.
PBMs often impose restrictive practices, such as claw backs, low reimbursement rates and limited formulary access. These practices threaten the viability of many independent and community pharmacies, making it harder for them to maintain the level of care their patients expect and deserve.
As pharmacists, it is essential to advocate for meaningful reform in the PBM industry. Whether through local legislative efforts or working with state and national pharmacy organizations, your voice is critical in pushing for greater transparency, fairer reimbursement practices and policies that prioritize patient care over corporate profit. By standing together and demanding change, we can ensure that PBMs no longer dictate the terms of how we practice and how our patients receive care.
Another significant challenge that Michigan’s community pharmacies face is the prevalence of pharmacy deserts – areas where access to essential health care services, including pharmacies, is limited or nonexistent. In both rural and urban areas of Michigan, there are communities that struggle to access the medications and health care resources they need due to a lack of nearby pharmacies. This is particularly troubling when you consider the rising rates of chronic diseases, such as diabetes and hypertension, which require consistent medication management.
As a profession, we must work to address this issue. Community pharmacies are uniquely positioned to serve as health care hubs, providing much-needed access to medications, advice and preventive care. Collaboration with local governments, health care providers, and public health organizations is essential to expanding access to pharmacy
services in underserved areas. Pharmacists and pharmacy technicians can also consider innovative ways to reach patients in these areas. Mobile pharmacy units, telehealth consultations and partnerships with health care providers can help bridge the gap for patients who might otherwise have to travel long distances for essential care. In embracing new models of service delivery, we can make sure that no one is left behind, regardless of where they live.
The dedication of pharmacists and pharmacy technicians has never been more evident than it is today. However, the current work conditions in many community pharmacies is not sustainable. Long hours, increased pressure to meet business needs, carving out time to provide quality care for our patients and understaffing are creating burnout among pharmacy professionals, leading to a decline in morale and a potential negative impact on patient care.
As a profession, we must advocate for better work conditions that allow pharmacists and pharmacy technicians to perform at their best. This includes fair wages, manageable workloads, adequate staffing and policies that prioritize the well-being of pharmacy professionals. Supporting initiatives such as the creation of more technician roles, a balanced distribution of duties and looking for opportunities to improve margins and reimbursement may help alleviate the labor burden on pharmacists and technicians, ensuring that patient care remains the top priority.
Additionally, it is crucial for pharmacy professionals to prioritize their own mental and physical health. Participating in wellness programs, seeking peer support and taking proactive steps to manage stress can help maintain resilience in the face of an oftendemanding work environment. Collectively, we can build a profession that supports both our patients and ourselves.
Despite these challenges, community pharmacies in Michigan remain essential to the state’s health care system. We are trusted health care providers who offer more than just medications – we offer guidance, support and a commitment to improving the lives of
our patients. However, to continue making a meaningful impact, it is essential that we embrace innovation and reform while staying grounded in the values that make community pharmacy unique.
To navigate the current landscape, community pharmacies must continue to embrace technological advancements, such as telehealth services and point-of-care testing, while advocating for necessary policy changes to create a more equitable and sustainable health care system. By embracing these changes, we can expand the services we offer, improve patient outcomes and secure the future of the pharmacy profession.
Together, we can address the challenges that stand in our way. Whether it’s advocating for PBM reform, expanding access in pharmacy deserts, or improving work conditions for pharmacy professionals, we have the opportunity to make lasting change. Embracing our profession means not only supporting patients but also supporting each other – as colleagues, as a community and as advocates for the future of pharmacy.
The pharmacy profession in Michigan is at a pivotal moment. The challenges we face are real, but they also present an opportunity to come together and advocate for change. By building upon MTM (Members First, Team Unity and Moving Forward), asking ourselves MPA (am I Maximizing my Membership, Participating, and/or Advocating?), addressing PBM reform, expanding access to underserved communities and improving our work conditions, we can continue to provide exceptional care for patients and ensure that our profession remains vibrant and sustainable for years to come.
As pharmacists and pharmacy technicians, you have always been the heart of health care, and now it is time to ensure that the system supports you as much as you support the patients who rely on you. Through collaboration, advocacy and innovation, we can embrace our profession and overcome the obstacles in our path, securing a brighter future for community pharmacy in Michigan.
BY AUSTIN P. BROWN, Pharm.D., MBA; TONINO MICHIENZI, BS, RPh; MIKE NABOLSI, Pharm.D.; and BRITTANY
STEWART
, RD, Pharm.D.
Community pharmacy practitioners are no strangers to the increasing challenges facing the profession in 2025. Since 2010, one-third of America’s pharmacies have closed their doors.1 Most of us would agree – the community practice model needs a significant overhaul if pharmacists want to keep them open.
However, that’s the exciting part. This is our renaissance. Community pharmacists are commonly entrepreneurs who are very innovative – not afraid of trying new things and willing to push back against the norms, because that’s how practice models move forward. We will detail a high-level overview of the challenges facing community pharmacy and what practitioners need to be doing to prepare their practices for the future.
The PBM Fiasco
Over the past decade, pharmacy benefit managers (PBMs) have been primarily responsible for the significant challenges facing the operations and profitability of community pharmacies.
Declining reimbursement rates — Poor contract offerings have made being reimbursed below acquisition cost (especially with expensive brand name products) a common occurrence. This happens even more so at independent pharmacies, where average reimbursements from third-party payers can be 90% lower than a chain.2
Increased audit rates and direct and indirect remuneration (DIR) fees – These PBM practices have hindered pharmacies’ ability to cover daily operations and drive the attention of the pharmacy team away from patient care responsibilities. DIR fees increased by 91,500% between 2010 and 2019.3
Vertical integration within the marketplace –
Patient steering (pushing a patient toward using a preferred PBM pharmacy rather than choosing their own), mail order mandates, price inflation and exclusive contracts have caused a lot of discussion about fair and appropriate drug product reimbursement. With three PBMs controlling 80% of all prescriptions filled in the United States, it is no wonder the Federal Trade Commission has started to take notice.4
The cost of doing business continues to rise. When combined with the challenges brought on by PBMs, pharmacies are finding it difficult to remain profitable.
Labor – The cost of hiring and retaining licensed pharmacists and technicians has increased. Many pharmacies are also losing their ability to offer employees health benefits and retirement plans.
Inventory – Inventory expenses account for at least 20-30% of a pharmacy’s operating budget.5 Having a sound inventory management strategy is crucial for success in today’s market.
Third party fees – Contract enrollments, claims processing, phone systems and pharmacy management systems have all become a large line item in the pharmacy’s operational spend.
More than 45 million Americans live in a pharmacy desert, defined as being more than 15 minutes away from the nearest pharmacy. Rural areas in the United States have been impacted by this the most, as many independent chain pharmacies have closed. Pharmacists are now working towards solutions to bridge the gap in these underserved populations.
Whether you practice in an independent pharmacy or a chain, as a pharmacist it is important to know how you want your pharmacy to run. Take time to prioritize goals for your teams that are actionable and measurable. Spend time with your teams discussing the metrics, what they mean and why they are important. It is important that all members of the team can communicate what your pharmacy offers to patients when they walk in the door.
People are the most important asset in pharmacy. Community practices are often busy work environments and take a lot of effort and focus to run effectively. We all know good pharmacy clerks and technicians are worth their weight in gold and play a large role in this process. Check in with your teams, make sure they feel both professionally and emotionally supported. Ask for their feedback on projects and give them real buy-in on the decision-making processes. When everyone feels like they are invested in the goals, the chances of success are much higher. Teams that demonstrate effective collaboration reduce turnover, provide better decisionmaking and can increase profitability by over 20%.6
To weather the reimbursement storm, community pharmacies in 2025 need to be incredibly lean. It is important to take a deep dive into your financials, identify your primary cost centers, and then develop a strategy to ensure they run as effectively as possible. Maximizing use of pharmacy claims data is also becoming increasingly important. Understand what your numbers mean in your pharmacy and how you can effectively act on them.
The pharmacy inventory is a primary cost center and must be managed effectively to maintain profitability. Look for any opportunity to increase your inventory turn number. As an example, if your pharmacy’s annual cost of goods sold is $3.6 million and your average inventory value is $300,000, dividing these two numbers gives 12 inventory turns per year. The national average inventory turn rate for a community pharmacy is 11 turns a year.7 Monitor ordering habits and limit the quantity of high-cost medications. Regularly check your reorder points. Leverage technologies to automate your dispensing process and reduce errors. Together, these habits will help create a healthy cash flow and limit money tied up in your drugs.
Pharmacies are also becoming increasingly involved with group-purchasing organizations to help further negotiate the cost of drug products. Many of them also offer discounted rates on other vendor products and offer expertise on current best practice models. It is important to research these distinct groups to find which one best fits your business.
Allowing pharmacy technicians to practice at the top of their license will ensure that your pharmacy is prepared for the next level of service. Offer them training in advanced skills like immunizations, point-of-care testing and medication reconciliation. Utilizing the entire pharmacy team in these practices is the foundation of creating appointmentbased models within your practice, thereby maximizing the pharmacist’s time for other clinical interventions and billable services.
Establishing a med sync program is crucial to maximizing revenues and optimizing the pharmacy’s dispensing workflows. When done optimally, med sync programs improve patient adherence and outcomes and increased prescription volumes.8 It is the lynchpin to turning your pharmacy operating model from reactive to proactive and creates the capacity for your teams to implement other patient care initiatives. This also prepares a patient to have the mindset of a “pharmacy appointment” when they walk through the door. As the pharmacist, if you know when to expect a patient interaction, you can better prepare for it and compound other sales and services into the interaction.
Clinical Services – Community practitioners have been successful in finding niche markets and promoting their services beyond the drug product. Immunization programs, diabetes self-management education accreditation, medication therapy management and point-of-care testing are some popular choices. Medication adherence packaging and prescription delivery services also give pharmacies an opportunity to make interventions and build clinical programs in their community. Recently, pharmacists have begun identifying regular patients who qualify for long-term care at home programs within certain payer groups, which qualify for different reimbursements compared to a retail pharmacy designation.
– Stocking higher-margin front end items like high grade supplements and home health care products can give pharmacies an edge. Pharmacy teams must also be aware of opportunities to bundle the sale of these products with prescription fills. For example, nutrient depletion programs can help patients supplement any vitamins or minerals that may
be lowered from chronic use of prescription drugs medications (vitamin B12 and metformin) and generate additional over-thecounter sales.9 Additionally, these types of personalized services build patient loyalty and increase repeat business in the pharmacy.
Direct Pricing Models – Although more than 90% of prescriptions are still filled through insurance, this business model is becoming more popular with increasing reimbursement challenges.10 Cash-only pharmacies can offer a transparent pricing model that allows patients to shop for cheaper generic drugs while bypassing the entire insurance process more easily. Operational costs can also be lowered by eliminating third-party contract obligations. This model can also be applied to pharmacists charging cash for clinical services such as point of care testing, hormone replacement therapy consultations and travel immunization services.
Advocate, Market and Collaborate
To best maximize your efforts, it is important to understand what your community needs. Are there certain care disparities the pharmacy can help with? Which providers send you a lot of prescriptions? Have you spoken to them recently? What do they struggle with? All providers are looking for ways to maximize their time, be more efficient and take care of more people. If you can help someone do that, there is a good chance they will listen.
It is also important to not waste a lot of time for no reason when starting a new clinical service or project. There are many resources available from groups like the National Community Pharmacists Association, CPESN
and the National Association of Chain Drug Stores. Get involved with an organization that aligns with your pharmacy’s goals and can help you be successful. You do not have to do it alone!
Be mindful of the legislative initiatives happening at a state and federal level and get involved when you can. Now more than ever, people in multiple layers of government are paying attention to the business of pharmacy. There has never been a better time to continue highlighting the value that community practitioners bring to the healthcare team. Despite the numerous challenges faced by community pharmacies, there are many promising opportunities on the horizon. By embracing innovative strategies, diversifying revenue streams, enhancing operational efficiency and building strong collaborations, community pharmacies can not only survive but thrive in this evolving landscape.
The resilience and adaptability of community pharmacies are their greatest strengths. By focusing on personalized care, leveraging technology and engaging in advocacy efforts, these pharmacies can continue to play a vital role in their communities. The future holds exciting possibilities for those willing to innovate and adapt, ensuring that community pharmacies remain a cornerstone of accessible and quality healthcare.
This is the time for community practitioners to redefine their role and create a sustainable, profitable future. With determination and a commitment to excellence, they can overcome challenges and seize the opportunities that lie ahead, making a lasting impact on the health and well-being of their communities.
1. UPI. One third of America’s pharmacies have closed their doors. Published December 4, 2024. Accessed March 9, 2025. https://www.upi.com/ Health_News/2024/12/04/one-third-us-pharmaciesclosed-2010/1661733331728/
2. MedBen. PBM independent pharmacies. Accessed March 9, 2025. https://www.medben.com/pbmindependent-pharmacies/
3. National Community Pharmacists Association. It’s not a typo: 91,500% increase in fees heaped on pharmacies. Published June 3, 2021. Accessed March 9, 2025. https://ncpa.org/newsroom/newsreleases/2021/06/03/its-not-typo-91500-increasefees-heaped-pharmacies
4. Federal Trade Commission. FTC sues prescription drug middlemen for artificially inflating insulin drug prices. Published September 2024. Accessed March 9, 2025. https://www.ftc.gov/news-events/news/ press-releases/2024/09/ftc-sues-prescription-drugmiddlemen-artificially-inflating-insulin-drug-prices
5. Business Plan Templates. Running costs of a pharmacy. Accessed March 9, 2025. https:// businessplan-templates.com/blogs/running-costs/ pharmacy
6. Gallup. Employee engagement reverts back to pre-COVID levels. Published October 13, 2020. Accessed March 9, 2025. https://www.gallup.com/ workplace/321965/employee-engagement-revertsback-pre-covid-levels.aspx
7. PBA Health. Measuring pharmacy inventory. Accessed March 8, 2025. https://www.pbahealth.com/elements/ measuring-pharmacy-inventory/
8. EnlivenHealth. Med sync for outpatient pharmacies. Accessed March 9, 2025. https://enlivenhealth.co/ blog/med-sync-for-outpatient-pharmacies/
9. Cheng YJ, Chien HC, Lin CH. Metformin and vitamin B12 deficiency: A systematic review and meta-analysis. J Clin Med. 2018;7(8):207. https://pmc.ncbi.nlm.nih.gov/ articles/PMC6054240/
10. Advisory Board. Cash-only pharmacies. Published August 24, 2022. Accessed March 9, 2025. https:// www.advisory.com/daily-briefing/2022/08/24/cashpharmacies
MPA’s Annual Convention & Exposition (ACE) will be on the move again, taking over the Lansing Center for three years beginning in 2026! Registration will open in fall 2025, but for now, block off your calendars for April 17-19, 2026 and join us at the Lansing Center!
Chadi Abbas
Courtney Doellner
Nada Farhat
Marc Guzzardo
Melissa Lipari
Insaf Mohammad
Brittany Stewart
Hanadi Thomas
Dale Tucker
Michigan Society of Community Pharmacists (MSCP) Pharmacist of the Year Award
Michigan Society of Pharmacy Technicians (MSPT)
Michigan Society of Health-System Pharmacists (MSHP) Pharmacist of the Year Award
Michigan Society of Pharmacy Technicians (MSPT) Pharmacy Technician of the Year
Consultant and Specialty Pharmacists of Michigan (CSPM) Pharmacist of the Year Award
Senator of the Year Award
Representative of the Year Award
REP. JULIE ROGERS
Hank Fuhs Good Government Award
Distinguished Local Association Achievement Award
Good Public Health Policy Award
Ernie Koch Striving for Excellence Award
Local Association Achievement Award
Capital Area Pharmacists Association
Genesee County Pharmacists Association
Great Lakes Bay Pharmacy Association
Kent County Pharmacists Association
Macomb County Pharmacists Association
MPA Upper Peninsula Division
Oakland County Pharmacists Association
Southwest Michigan Pharmacists Association
Wayne County Pharmacists Association
Western Michigan Pharmacy Association
Pharmacists Association
Todd Belding, chair
Faith Allen, president
Vacant - president-elect
Joseph Wildern, treasurer
Sarah Eagleston, secretary
Tim Ekola, MSHP liaison
C.J. Heisler, MSPT liaison
Ryan Rockwell
Stacey Pearl
Rachel Griffieon
Julie Terenzi
Cathy Edick
Jeff Ackerman
Ann Kluck, resident agent
Pharmacists Association
Cindy Gillespie, president
Rebekah Mahoney, president
Vacant - president-elect
Jackie McDonnell, secretary
Max Charron, treasurer
Karli Combs
Richard Young
Bradley Haan
Melissa Murphy
Dan Elliott
Bethany Folland
Bryan Homberg
Pharmacy Association
Stephanie LaPointe, chair
Lindsay Simonetti, president
Edward Wright, president-elect
Ian Bradley, secretary
Blake Bonkowski, treasurer
Erin Weiss
Brandon Paten
Katherine Grant
Rebecca Nelson
Area
Pharmacists Association
Kyle Kronemeyer, president
Adinarayana Andy, vice president
JoAnn Sanborn, treasurer
Vacant - secretary
Pharmacists Association
Sara Brown, president
Brooke Roe, past-president
Brittany Myland, president-elect
Susan Devuyst-Miller, treasurer
Jessica Naylor, secretary
Lisa Diephouse
Janice Nguyen
Adam King
Steven Philips
Emily Smit
Pharmacists Association
Dena Welicki, past-president
John Brubaker, president
Denise Markstrom, president-elect
Mitesh Doshi, treasurer
Gretchen Eickelberg, secretary
Jim Kaski
Kayla Craig
Taylor Gianfermi
Sabrina Gregor
Sheila Payne
Jennifer Priziola
Gabrielle Matthew, chair
Abigail Fenton, president
Josh Havrilka, vice president
Jordan Marchetti, treasurer
John Fritsche, secretary
Tyler Jenema
Kari Waise
Rene Koski
Jordan Sedlacek
Cynthia Feucht
Dave Campana
Caren Heath
Karen Fenton
Kathy Ann Dugan, president
Vacant - vice president
Patricia Michautka, treasurer
Vacant - secretary
Pharmacists Association
Lisa Ausmus, chair/past-president
Hanadi Thomas, president
Vacant - president-elect
Saima Mirza, treasurer
Melanie Nickerson, secretary
Stuart Bas
Wejdan Azzou
Anthony Coppola
Erica Strange
Mark Saleh
Eric Nordan
Rony Foumia
Joseph Paul Javier, Wayne State student
Taif Afat, Wayne State student
Sarah Schang, University of Michigan student
Pharmacists Association
William Urfer, chair/information officer
Michael Alverson, president
Megan Werner, president-elect
Amy Smendik, treasurer
Janet K. Urfer, secretary
Julie Koppers
Nancy Syserda
Pharmacists Association
Keith Binion, chair
Daniel Lobb, president
John Mohler, president-elect/resident agent
Mark Bomia, treasurer
Ali Khanafer, secretary
Greg Baise
Andrew Britton
Jessica Efta
Stephanie Everard
Sarah Hill
Matt McTaggart
Nohal Mekkaoui
Maria Young
Ghada Abdallah
Nour Ghamrawi
Valerie Kelley-Bonner
Insaf Mohammad
Obioma Opara, Wayne State student
Karen Purell-Kobel
Thomas Rolands
Doug Samojedny
Neal Miller, chair | Bill Overkamp, treasurer | Stacy Uganski, secretary | Diane Malburg | Bethany Lathan | Renee Dudek
Kent County Pharmacists Association
May 20 – Board meeting
June 17 – Board meeting
Wayne County Pharmacists Association
May 20 – Board meeting
June 17 – Board meeting
Macomb County Pharmacists Association
May 15 – Board meeting
June 19 – Board meeting
Oakland County Pharmacists Association
May 8 – Board meeting
June 12 – Board meeting
Genesee County Pharmacists Association
June (TBA) – Board meeting
Contact your local association:
Capital Area Pharmacists Association: capapharm@gmail.com; website: capapharm.org
Genesee County Pharmacists Association: geneseepharmacists@gmail.com; website: geneseepharmacists.org
Great Lakes Bay Pharmacy Association: greatlakesbaypharmacy@gmail.com; website: sites.google.com/a/glbpa. com/great-lakes-bay-pharmacy-association/home
Jackson Area Pharmacists Association: Kyle Kronemeyer, president, kylerph@comcast.net
Kent County Pharmacists Association: kcpapharmacists@gmail.com
Macomb County Pharmacists Association: mcpa586@gmail.com
MPA Upper Peninsula Division: Abigail Fenton, president, afenton20212@gmail.com
Oakland County Pharmacists Association: Hanadi Thomas, president, hanadithomas@yahoo.com
Southwest Michigan Pharmacists Association: William Urfer, chair/information officer, weu123@aol.com; website: swmpa.org
Wayne County Pharmacists Association: waynepharmacists@gmail.com
Western Michigan Pharmacists Association: Neal Miller, chair, pillbox81.nm@gmail.com
• Providing valuable health services to the community like: vaccinations, medication therapy management, point of care services, and drug take back.
• Collected over 45 tons of unused and expired medication last year in our drug take back program.
• Generated and donated more than $9M to food banks in 2023 in addition to over 11M pounds of food donated to Feeding America to help our neighbors in need.
• Great Place to Work 2024.
• Benefit package with over 40 offerings!
• Meijer invests in our technicians offering training programs that lead to state board certification, national certification, and training in advanced clinical services.
• Through partnership with ACPE-accredited colleges of pharmacy and pharmaceutical industry, Meijer offers 2 community-based PGY1 residencies.
BY TRENTON THIEDE, Pharm.D., MBA,
president, PAAS National®, expert third-party audit assistance and FWA/HIPAA compliance
There are currently three FDA-approved Respiratory Syncytial Virus (RSV) vaccines available for individuals at risk of severe illness from a respiratory virus. Please review the chart for helpful billing tips and the additional information below as to which RSV vaccine is appropriate to give to an eligible individual.
Abrysvo®* Pfizer 00069-0344-01 1 EACH 1 day supply
Use within 4 hours after reconstitution Arexvy® GSK 58160-0848-11
mRESVIA®** Moderna 80777-0345-90 0.5 ML
1. Abrysvo®
a. 60 years of age and older
b. Pregnant women at 32 to 36 weeks gestational age
c. 18 – 59 years of age who are at an increased risk
2. Arexvy®
a. 60 years of age and older
b. 50 through 59 years of age who are at an increased risk
3. mResvia®
a. 60 years of age and older
Use within 24 hours after thawed at room temperature
Copyright © 2025 PAAS National, LLC.
Unauthorized use or distribution prohibited. All use subject to terms at https://paasnational. com/terms-of-use/.
The CDC1 recommends a single dose of any FDA licensed RSV vaccine be given to all adults ages 75 and older and adults who are between the ages of 60 and 74 who have an increased risk of severe RSV. The conditions that increase the risk of severe RSV can be found on the CDC1 website. The CDC also recommends pregnant women receive a dose of the maternal RSV vaccine (Abrysvo®) during weeks 32 through 36 of their pregnancy sometime between September through January. To prevent severe RSV in infants, it is recommended that the mother receive the maternal RSV vaccination or the infant receive the vaccination with RSV monoclonal antibody.
• Be cautious when billing mRESVIA® as each pre-filled syringe is billed as 0.5 mL versus the Abrysvo® and Arexvy® vials which are billed as 1 EACH
• Medicare covers RSV vaccine under Part D
• Pharmacists play a key role in educating high-risk patients on RSV prevention
• Eligible patients can receive the RSV vaccine at any time, but the best time to vaccinate is late summer or early fall before RSV starts to spread
• Like all vaccines, pharmacies should maintain documentation in case of an audit:
o Authorization to administer, which may include a patient-specific prescription or a collaborative practice agreement (CPA)/protocol
o Signed prescription or placeholder prescription (when using a protocol or CPA)
o Vaccine Administration Record (VAR)
o Screening checklist
o Vaccine Information Statement (VIS)
References:
1. https://www.cdc.gov/rsv/hcp/vaccine-clinical-guidance/older-adults.html
